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. 2019 Jan 22;2019(1):CD009363. doi: 10.1002/14651858.CD009363.pub3

Smith 2001.

Methods Study design: RCT
Duration of the study: not reported
Protocol was published before recruitment of participants: not reported
Details of trial registration: not reported
Funding sources: not reported
Participants Place of study: Tennesse, USA
Number of participants assigned: 100 participants
Number of participants assessed: 65 participants (30 surgical; 35 conservative)
Inclusion criteria
  • Patients with an acute 100% displaced mid‐shaft clavicle fracture


Exclusion criteria: not reported
Age: not reported
Classification of injury: not reported
Interventions Timing of intervention: not reported: participants with acute fractures
Type of surgical intervention: open reduction and plate fixation with limited contact dynamic compression plates
Type of conservative intervention: simple sling or figure‐of‐eight bandage
Rehabilitation: not reported
Any co‐interventions: not reported
Outcomes Length of follow‐up: until radiographic union or non‐union, surgical group (mean/range): 16/8‐28 months; conservative group (mean/range): 18.6/8‐32 months
Loss to follow‐up: 35 participants were lost to follow‐up
Primary outcomes
  • Failure of treatment


Secondary outcomes
Treatment failure measured by:
  • non‐union and malunion

  • cosmetic result: deformity


Adverse events measured by:
  • long‐term follow‐up: stiffness/restricted of range of shoulder movement (adhesive capsulitis)

Notes We tried unsuccessfully to contact the study authors to obtain further information. This trial was presented in 2001 at a conference, and it is unlikely that the full results will ever be published.

DASH: Disability of the Arm, Shoulder, and Hand questionnaire; LCP: locking compression plate; RCT: randomised controlled trial