• Arch Orthop Trauma Surg · Jun 2009

    Review Comparative Study

    Shaft fractures of the clavicle: current concepts.

    • Vinzenz Smekal, Juergen Oberladstaetter, Peter Struve, and Dietmar Krappinger.
    • Department of Trauma Surgery and Sports Medicine, Innsbruck Medical University, Innsbruck, Austria. Vinzenz.Smekal@uki.at
    • Arch Orthop Trauma Surg. 2009 Jun 1;129(6):807-15.

    AbstractFractures of the clavicle are common and have been typically addressed to nonoperative treatment. Favorable results, which predominantly were achieved in the young and adolescents, were supposed to be usual in midshaft clavicular fractures. However, in the presence of comminution or complete displacement, especially when occurring in females or elderly patients, there is a marked risk of nonunion, malunion, and poor outcome. Thus, many authors prefer primary surgical stabilization, when risk factors add up. Plate fixation and intramedullary stabilization seem to be equally favored. Though, indications for operative management remain controversial. Further prospective randomized comparative clinical trials are necessary for a well-founded risk-benefit analysis.

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