Single, superiorly placed reconstruction plate compared with flexible intramedullary nailing for midshaft clavicular fractures: a prospective, randomized controlled trial.

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59 patients with displaced midshaft clavicular fractures were randomly assigned to treatment with either a reconstruction plate or an elastic stable intramedullary nail. The study was conducted with the primary intention of identifying differences in functional outcome as evaluated by Disabilities of the Arm, Shoulder and Hand (DASH) and Constant-Murley scores, 6 and 12 months postoperatively. Other parameters such as time to fracture union, residual shortening, pain, and complications were also assessed within the same time frame. The study found that both treatments displayed similar levels of efficacy, with the exception of the elastic stable intramedullary nail procedure being more susceptible to implant-related pain, and the plate fixation procedure being more susceptible to implant blending when appropriate bone support was not achieved.