Midshaft clavicular fractures: operative treatment improves nonunion and functional scores .
Operative versus nonoperative treatment in the management of midshaft clavicular fractures: a meta-analysis of randomized controlled trials
J Shoulder Elbow Surg. 2014 Feb;23(2):173-81. doi: 10.1016/j.jse.2013.06.025. Epub 2013 Oct 12.7 studies (6 published RCTs, 1 abstract) were included in this meta-analysis with the purpose of determining the optimal treatment for midshaft clavicular fractures. Operative and conservative treatments were examined in contrast, with an operative technique subgroup analysis comparing plate and intramedullary fixation. Upon examination, results revealed plate fixation lowered incidence of nonunion, surgical complications, and symptomatic malunions compared to conservative treatment.
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