Disability & implant irritation with intramedullary nail vs. plate for midshaft clavicle fractures .
High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures
Clin Orthop Relat Res. 2017 Feb;475(2):532-539120 patients with a displaced midshaft clavicle fracture were randomized to fixation with either an intramedullary nail or a plate. Patients were assessed for disability, incidence of implant-related irritation, and incidence of removal due to implant-related irritation. Results on the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score demonstrated no significant difference between groups at 39 months. The overall incidence of implant-related irritation did not significantly differ between groups. The incidence of implant removal due to irritation was 35/62 in the nail group and 21/56 in the plate group.
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