OrthoEvidence Review: Operative vs nonoperative treatment for displaced clavicle fractures .
Operative Versus Non-Operative Treatments for Displaced Mid-Shaft Clavicle Fractures: An OrthoEvidence Review of Best Evidence
13 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.
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