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

NCT01078480.

Trial name or title Conservative treatment versus plate osteosynthesis using angular stabile screws and pre‐contoured plates in displaced mid‐shaft clavicular fractures. A prospective randomised multi‐centre study
Methods Study design: parallel RCT
Random sequence generation: not reported
Allocation concealment: not reported
Masking: single‐blind (outcome assessor)
Participants Location: Northern Orthopaedic Division, Denmark
Target sample size (N): 140 participants
Inclusion criteria
  • Age 18‐60 years

  • Fracture located to the middle third of clavicle, where there is no contact between the fractured surface of the main fragments on X‐ray in 1 or 2 of 2 levels


Exclusion criteria
  • Bilateral fracture

  • Imminent skin perforation

  • Open fracture

  • Associated neurovascular effect

  • Unstable fracture of neck of scapula "floating shoulder"

  • Fracture of coincidental upper extremity distal for the shoulder

  • Pathological fracture

  • Patient states that there was a unilateral or bilateral shoulder problem before the fracture

  • Fracture realised > 14 days after it arose

  • Circumstances that make it impossible to carry out 1 of the 2 regimes, e.g. mental illness and abuse

  • Circumstances that make follow‐up impossible, e.g. address far from the including departments and staying abroad for a long duration

  • Medical contraindication against surgery or general anaesthesia

  • Former participation in the trial

  • Former fracture contra/ipsilateral at the age of ≥ 15

Interventions Type of surgical intervention: open reduction and internal fixation with a pre‐contoured titanium plate and screws
Type of conservative intervention: sling
Outcomes Primary outcomes
  • Function or disability measured by Constant score; DASH score used to evaluate the functional score at 6 weeks, 3 months, 6 months and 12 months


Timing of outcomes measurement: time frame: 12‐month follow‐up
Starting date Main ID: NCT01078480.
Date of registration: 27 February 2010
Last refreshed on: 21 January 2016
Date of 1stenrolment: April 2010
Status: completed
Estimated Study Completion date: December 2015
Contact information Name: Carsten Moss Jensen, MD
Address: not reported
Telephone: not reported
Email: cmj@rn.dk
Affiliation: Orthopaedic Division, North Denmark Region, Aalborg Hospital-Aarhus University Hospital, Denmark
Notes This trial was published in November 2018, during editorial processing of the review; reference in additional references: Qvist 2018)