Plating displays similar results to intramedullary pinning for midclavicular fractures .
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Plating versus intramedullary pin or conservative treatment for midshaft fracture of clavicle: a meta-analysis of randomized controlled trials
J Shoulder Elbow Surg. 2011 Sep;20(6):1008-15. doi: 10.1016/j.jse.2011.01.018. Epub 2011 Apr 9Four randomized and quasi-randomized controlled trials (involving 305 clavicular fractures) were identified in this meta-analysis to assess whether intramedullary pinning or conservative treatment led to similar outcomes as plating for mid-clavicular fractures. The available evidence suggested that there were no differences in treatment effects between plating and intramedullary pinning; however, plating was associated with more side effects. When compared to conservative treatment, plating displayed superior clinical and functional outcomes.
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