Operative versus nonoperative treatment in the management of midshaft clavicular fractures: a meta-analysis of randomized controlled trials
Whilst the literature suggests conservative management for displaced midshaft clavicle fracture, there is no consensus on the effects of operative versus nonoperative treatment on outcomes in adults. This meta-analysis of consisted of seven randomised studies.
The pooled analyses demonstrated that operative treatment resulted in less non-union and less symptomatic malunions. Subgroup analyses favour plate fixation in terms of outcome, reduced complications and patient satisfaction.
This meta-analysis would therefore suggest a shift towards operative management of midshaft clavicular fractures from the currently more favoured conservative management. > From: Xu, et al., J Shoulder Elbow Surg 23 (2014) 173-181. All rights reserved to Elsevier Ltd.
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