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Record W2319370592 · doi:10.2106/jbjs.m.00527

Displaced Fractures of the Clavicle: Who Should Be Fixed?

2013· letter· en· W2319370592 on OpenAlex
Michael D. McKee

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueJournal of Bone and Joint Surgery · 2013
Typeletter
Languageen
FieldMedicine
TopicShoulder and Clavicle Injuries
Canadian institutionsSt. Michael's Hospital
Fundersnot available
KeywordsClavicleOrthodonticsGeologyMedicineSurgery

Abstract

fetched live from OpenAlex

This study is yet another high-quality, well-designed, and robust (N = 200) randomized clinical trial from a group of investigators who are well recognized for their contributions to evidence-based medicine in the field of orthopaedics. There has been increasing interest in the primary fixation of displaced midshaft fractures of the clavicle since the landmark article by Hill et al., published in 1997, describing a high rate of dissatisfaction following the nonoperative treatment of these injuries1. In the current study, Robinson et al. randomized such individuals to primary plate fixation or a collar and cuff for three weeks. The study design and the inclusion/exclusion criteria (with the study group comprising active healthy patients sixteen to sixty years of age with completely displaced fractures) are nearly identical to those in a number of other recent randomized clinical trials, most of which concluded that primary operative fixation was beneficial for patients2-5. The reader may be justifiably confused by Robinson and colleagues’ conclusion that their results do not support primary plate fixation for these injuries. However, in my opinion, the results of these studies are very similar and complementary, not contradictory, and some clear …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.162
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.040
GPT teacher head0.332
Teacher spread0.291 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it