SHOULDER & ELBOW
Improved function and time to union with plating versus sling for mid-shaft clavicle fractures
This report has been verified
by one or more authors of the
original publication.
Injury. 2018 Jun;49(6):1104-1107
69 patients with a closed, displaced clavicle fractures (Robinson type 2B) were randomized to surgery with open reduction and internal fixation with a plate, or to nonoperative treatment with an arm pouch sling. Patients were followed over 24-months of follow-up for union, incidences of nonunion and malunion, complications, and function through the Constant score. Results demonstrated no significant differences in the rate of nonunion between groups, though time to union was significantly shorter in the plate group compared to sling group. Additionally, function at 24 months was significantly greater in the plate group compared to the sling group.
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