Orthopedic Trauma Directions 2008; 6(1): 23-32
DOI: 10.1055/s-2008-1038106
Clinical topic
© Georg Thieme Verlag Stuttgart · New York

Acute midshaft clavicular fractures

Intramedullary fixation versus nonoperative treatment
Further 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.