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Orthopedic Trauma Directions 2008; 6(1): 23-32
DOI: 10.1055/s-2008-1038106
DOI: 10.1055/s-2008-1038106
Clinical topic
© Georg Thieme Verlag Stuttgart · New York
Acute midshaft clavicular fractures
Intramedullary fixation versus nonoperative treatmentFurther Information
Publication History
Publication Date:
29 January 2008 (online)
Summary
Limited evidence from one small retrospective cohort study and 13 case series suggest little difference in union rates and healing time between treatment with intramedullary (IM) fixation and nonoperative treatment. Pooled estimates combining all studies may suggest improved shoulder function with IM fixation. Methodologically rigorous comparative studies with adequate power are needed to effectively compare IM fixation and nonoperative treatment.