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Table 2 League table of different internal fixation comparisons of CMS, UCLAs, and CCD for UDCF

From: Different internal fixation methods for unstable distal clavicle fractures in adults: a systematic review and network meta-analysis

CMS MD (95% CI)

LCP + CC

0.77 (0.27, 1.28)a

NR

NR

1.09 (0.39, 1.79)a

NR

0.60 (0.19, 1.02)*

LCP

NR

NR

0.70 (0.23, 1.17)a

NR

0.63 (− 0.01, 1.26)

0.02 (− 0.62, 0.67)

CC

NR

0.55 (0.29, 0.82)

NR

1.17 (− 0.12, 2.46)

0.56 (− 0.79, 1.92)

0.54 (− 0.90, 1.98)

KWTB + CC

NR

NR

1.16 (0.77, 1.55)*

0.56 (0.15, 0.96)*

0.53 (0.03, 1.03)*

− 0.01 (− 1.36, 1.34)

HP

0.76 (0.43, 1.09)

1.88 (1.12, 2.63)*

1.27 (0.51, 2.03)*

1.25 (0.43, 2.07)*

0.71 (− 0.79, 2.20)

0.72 (0.07, 1.36)*

KWTB

UCLA MD (95% CI)

LCP + CC

NR

NR

NR

  

0.53 (− 1.38, 2.44)

CC

NR

1.24 (0.78, 1.69)

  

0.63 (− 0.81, 2.07)

0.10 (− 1.16, 1.35)

LCP

1.05 (0.16, 1.94)a

  

1.65 (0.01, 3.29)*

1.12 (0.15, 2.09)*

1.02 (0.23, 1.81)*

HP

  

CCD MD (95% CI)

HP

NR

− 0.78 (− 1.82, 0.25)b

   

− 0.76 (− 1.76, 0.23)

LCP + CC

− 0.30 (− 1.25, 0.64)b

   

− 1.06 (− 2.48, 0.36)

− 0.29 (− 1.30, 0.72)

LCP

   
  1. Fixation methods are ordered by the SUCRA value, and the top left is the best, whereas the bottom right is the worst. Estimates on the upper right are direct comparisons (i.e., head- to-head studies); the lower-left estimates are from the network meta-analysis
  2. MD (95% CI) mean difference and 95%confidence interval, OR (95% CI) odd ratio and 95%confidence interval, HP hook plate, LCP locking compression plate, CC coracoclavicular reconstruction, LCP + CC, combination of locking compression plate and coracoclavicular reconstruction, KWTB Kirshner wire and tension band, KWTB + CC combination of Kirshner wire and tension band and coracoclavicular reconstruction, KW Kirshner wire, NR not reported, NFT no further treatment
  3. aSignificant heterogeneity was tested between the direct comparisons, and sensitivity analysis confirmed the robustness of the results
  4. bSignificant heterogeneity was tested between the direct comparisons
  5. *p value < 0.05 statistically significant different