Details

Autor(en) / Beteiligte

• Lecoultre, Yannic
• van de Wall, Bryan J. M
• Diwersi, Nadine
• Pfarr, Steffen W
• Galliker, Beat
• Babst, Reto
• Link, Björn-Christian
• Beeres, Frank J. P
• Simmen, Hans-Peter

Titel

A natural experiment study: Low-profile double plating versus single plating techniques in midshaft clavicle fractures—Study protocol

Ist Teil von

• PloS one, 2023-09, Vol.18 (9), p.e0291238

Ort / Verlag

San Francisco: Public Library of Science

Erscheinungsjahr

2023

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Single plate osteosynthesis is commonly employed when performing surgical stabilization of midshaft clavicle fractures. In recent years, a smaller structural low-profile double plating technique has been described as a possible solution for the high removal rates associated with single plating. A previous meta-analysis has demonstrated that low-profile double plating attains the same healing rates as single plating without a higher chance of fracture-related infections. This meta-analysis, however, was based on relatively small studies. Therefore, a multicentre prospective natural experiment was designed using natural variation in treatment regimens and geographical location of the trauma as treatment allocation mechanism to compare both treatments on a larger scale. This manuscript describes its protocol. This study will determine whether low-profile double plating has significant clinical and cost-effective benefits over single plating techniques in midshaft clavicle fractures. The study will also give insight in the performance of a natural experiment study design for orthopedic trauma research.