Publication Name	World Journal of Orthopedics
Manuscript ID	124549
DOI	10.5312/wjo.124549
Country	Saudi Arabia

Category	Orthopedics
Manuscript Type	Systematic Reviews
Article Title	Operative vs nonoperative management of displaced midshaft clavicle fractures: A systematic review
Manuscript Source	Unsolicited Manuscript
All Author List	Abdulaziz Ahmed Munshi, Abdulaziz Ahmed Abdulaziz, Husam Hasan Tamim, Ghamid Abdulsattar Alghamdi, Abdalrashid Faisal Halawani, Abdullah Hesham Alsawaf, Ahmad Abdulrahman Alghamdi, Abdulellah Ismail Alqurashi, Meshal Yahya Altowairqi and Khalid Ahmad Alnofeay
Funding Agency and Grant Number
Corresponding Author	Abdulaziz Ahmed Munshi, MD, Faculty of Medicine, Umm AlQura University, Al-Abdiyyah, Mecca 21955, Saudi Arabia. abdulaziza.munshi@gmail.com
Key Words	Internal fracture fixation; Bone plates; Conservative treatment; Postoperative complications; Articular range of motion; Treatment outcome
Core Tip	This systematic review of level I evidence evaluated operative fixation vs nonoperative management for displaced midshaft clavicle fractures in 1615 patients. Our findings demonstrate that while surgery significantly reduces the risk of nonunion and facilitates earlier functional recovery, long-term functional outcomes at 1 year are generally comparable between operative and nonoperative management. These results emphasize the need for individualized, patient-centered decision-making, particularly for active adults who prioritize a rapid return to function.
Citation	Munshi AA, Abdulaziz AA, Tamim HH, Alghamdi GA, Halawani AF, Alsawaf AH, Alghamdi AA, Alqurashi AI, Altowairqi MY, Alnofeay KA. Operative vs nonoperative management of displaced midshaft clavicle fractures: A systematic review. World J Orthop 2026; In press DOI: https://doi.org/10.5312/wjo.124549
PDF	124549-in-press.pdf

Received	2026-06-18 03:19
Peer-Review Started	2026-06-18 03:19
First Decision by Editorial Office Director
Return for Revision	2026-06-29 04:17
Revised	2026-07-17 11:38
Publication Fee Transferred	2026-07-29 21:26
Second Decision by Editor	2026-08-12 05:07
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-08-14 10:05
Articles in Press	2026-08-14 10:05
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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