AAOS 2016: Improved healing with plate/screw vs. sling in midshaft clavicle fractures .
Plate Fixation Compared with Nonoperative Treatment of Displaced Midshaft Clavicular Fractures
174 patients with an acute displaced mid-shaft fracture of the clavicle were randomized to either nonoperative management with sling immobilization, or surgical intervention with a precontoured plate and locking screws. The study was conducted in order to compare fracture healing, shoulder function, and time lost to sick leave between operative and nonoperative treatment over 1 year follow-up. Results demonstrated a significantly reduced non-union rate and sick leave duration with operative versus nonoperative treatment. Short-term (3-month) functional outcomes also favoured operative treatment compared to nonoperative treatment, though differences in functional outcome between groups at 1 year post-treatment were not significant.
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