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ACE Report #9259
Ace Report Cover Shoulder & Elbow

OTA 2016: ORIF with plate lowers nonunion rate vs. sling for displaced clavicle fractures

Study Type:Randomized Trial
OE Level Evidence:N/A
Journal Level of Evidence:N/A

Plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter randomize controlled trial

Contributing Authors: S Woltz S Stegeman P Krijnen B van Dijkman T van Thiel NWL Schep P de Rijcke JP Frolke IB Schipper

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This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.


160 patients with a displaced, midshaft clavicle fracture were randomized to be treated with either open reduction and internal plate fixation or with sling immobilization. Reported outcome included nonunion rate (primary), functional measures (Constant and Disability of the Arm, Shoulder, and Hand [DASH] scores), and the incidence of secondary surgery. The ORIF group demonstrated a significantly ...

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