The authors conducted a multicenter, randomized, controlled trial of 301 adult patients treated with either ORIF (n = 154) or nonoperative management (n = 147). At 3-month follow-up, they found no significant difference in nonunion rate across cohorts. However, at 9-month follow-up, they noted a significantly higher nonunion rate among patients in the nonoperative cohort compared to the ORIF cohort (11 percent vs. <1 percent respectively). Learn more...