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RCT
ACE Report #11773
Ace Report Cover Shoulder & Elbow

Similar outcome, better 12mo DASH score with IM nail vs locking plate for clavicular shaft fractures


Study Type:Randomized Trial
OE Level Evidence:2
Journal Level of Evidence:1

The Effectiveness of a Flexible Locked Intramedullary Nail and an Anatomically Contoured Locked Plate to Treat Clavicular Shaft Fractures: A 1-Year Randomized Control Trial

J Bone Joint Surg Am. 2019 Apr 3;101(7):628-634. doi: 10.2106/JBJS.18.00660

Contributing Authors: A Ikram PR King MM Eken RP Lamberts

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Synopsis

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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