Findings from a study published in the June 21 issue of The Journal of Bone & Joint Surgery (JBJS) suggest that plate fixation for displaced midshaft clavicular fracture may reduce risk of nonunion compared to nonsurgical treatment. The research team conducted a meta-analysis of six randomized, controlled trials covering 614 patients. 

The investigators found that surgical treatment was associated with reduced likelihood of nonunion, and that secondary operations for adverse events were performed less often among surgically treated patients. When plate removal was included, a secondary operation was performed in 17.6 percent of patients in the surgical cohort and 16.6 percent of patients in the nonsurgical cohort. At 1-year follow-up, the research team noted that mean Constant and Disabilities of Arm, Shoulder and Hand scores were somewhat better overall in the surgical cohort compared to the nonsurgical cohort. Learn more...

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