Similar outcome, better 12mo DASH score with IM nail vs locking plate for clavicular shaft fractures
The Effectiveness of a Flexible Locked Intramedullary Nail and an Anatomically Contoured Locked Plate to Treat Clavicular Shaft Fractures: A 1-Year Randomized Control TrialJ Bone Joint Surg Am. 2019 Apr 3;101(7):628-634. doi: 10.2106/JBJS.18.00660
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72 patients with clavicular shaft fractures were randomized to receive an open reduction and internal fixation procedure utilizing either a anatomically contoured locking plate or an intramedullary nail. The primary outcomes of interest included DASH scores, Constant Shoulder scores, and union rate. Secondary outcomes included operative time, incision length and the rate of hardware failure. Follo...
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