Locked anatomic plate fixation in displaced clavicular fractures

Plate Versus Intramedullary Fixation Care of Displaced Midshaft Clavicular Fractures

In recent decades, there has been a growing trend to the operative treatment of displaced midshaft clavicular fractures. Open reduction and internal plate fixation, and intramedullary nailing fixation are 2 of the widely used techniques for operative treatment, but the optimal fixation method for these types of fractures remains a topic of debate. The objective of this study was to determine th...

Nonoperative Treatment Compared with Plate Fixation of Displaced Midshaft Clavicular Fractures

Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures.

BACKGROUND Recent studies have shown a high prevalence of symptomatic malunion and nonunion after nonoperative treatment of displaced midshaft clavicular fractures. We sought to compare patient-oriented outcome and complication rates following nonoperative treatment and those after plate fixation of displaced midshaft clavicular fractures. METHODS In a multicenter, prospective clinical trial,...

Unicortical versus bicortical locked plate fixation in midshaft clavicle fractures.

Higher rates of poor outcomes in displaced midshaft clavicle fractures treated nonoperatively have recently been reported. Along with expanding indications for operative fixation and increasing application of locked plate constructs, it is unknown whether complications related to bicortical penetration of the clavicle can be avoided using unicortical fixation. The purpose of this study is to co...

Precontoured locking plate fixation for displaced lateral clavicle fractures.

Displaced fractures of the lateral end of the clavicle are associated with an increased risk of nonunion with conservative treatment; therefore, operative treatment is recommended. Various operative treatments have been suggested, but no consensus exists regarding a gold standard for the surgical treatment of this type of fracture. The purpose of this study was to evaluate clinical and radiolog...