SICOT2018: Higher function and lower mal/nonunion rates with fixation vs sling for clavicle fracture .
CONSERVATIVE MANAGEMENT COMPARED WITH PLATE FIXATION OF DISPLACED MIDSHAFT CLAVICULAR FRACTURES: A PROSPECTIVE RANDOMISED CONTROLLED TRIAL
72 patients with a displaced midshaft clavicle fracture were randomized to either operative management with plate fixation or nonoperative management with sling immobilization. Patients were assessed for outcomes over the first 6 and 12 months follow-up. For fracture healing, a significantly earlier time to radiographic union was observed with plate fixation versus nonoperative treatment, as well as significantly lower rates of malunion and nonunion. Patient-reported outcome on the Disabilities of the Arm, Shoulder and Hand (DASH) score also significantly favoured the plate fixation group throughout follow-up.
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