Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Feb 2014
Meta Analysis Comparative StudyOperative versus nonoperative treatment in the management of midshaft clavicular fractures: a meta-analysis of randomized controlled trials.
There is no consensus on the effects of operative versus nonoperative treatment on the outcomes of midshaft clavicular fractures in adults. We conducted a meta-analysis of randomized clinical studies. ⋯ In the management of midshaft clavicular fractures, surgery is superior to nonoperative treatment. Surgery with plates results in lower incidences of nonunion, fewer total complications, and fewer symptomatic malunions compared with nonoperative treatment.