OrthoEvidence Review: Operative vs nonoperative treatment for displaced clavicle fractures .
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(5):9413 ACE reports (4 reviews/ meta-analyses, 9 RCTs) were included from the OrthoEvidence database that compared operative versus nonoperative or operative versus operative treatments for displaced midshaft clavicle fractures. The findings of this review demonstrated that surgical procedures led to a lower rate of nonunion and malunion with better functional outcome when compared to nonoperative treatment. Comparisons of operative treatments indicated that an optimal surgical procedure - between plate fixation, nailing, and pin fixation - could not be determined based on union rates or functional outcome. The results of this review highlighted the need for standardized outcome reporting within the literature to improve comparisons between trials.
What was the principal research question?
Which method - operative or nonoperative treatment - was more effective in the treatment of displaced midshaft clavicle fractures, in terms of union rates and functional outcomes? Additionally, is there a surgical procedure that is superior (between plate fixation, nailing, and pin fixation) for the management of displaced clavicle fractures?
What should I remember most?
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