When to operate an isolated midshaft clavicle fracture?
Djahangiri, A.; Farron, A.
Revue Medicale Suisse 5(212): 1542-1545
2009
ISSN/ISBN: 1660-9379 PMID: 19728447 Document Number: 16091
Slightly displaced clavicular midshaft fracture is currently treated nonoperatively. There is considerable debate about whether acute displaced fractures should be treated operatively. Nonunion rate after displaced fracture has been underestimated for a long time, and malunion clinical impact often minimized. It is known that operative treatment decreases these rates. However, operating all displaced fractures may lead to overtreatment. Acute operative treatment of midshaft fractures with delayed treatment of established nonunion showed no significant difference in the outcome, but malunion surgical management is technically demanding. Consequently these fractures could be treated surgically, but operative indication should be adapted to patient expectations.
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