Clavicle fractures in 2010: sling/swathe or open reduction and internal fixation?
Clavicle fractures are common, and they comprise close to 3% of all fractures seen in fracture clinics. Midshaft fractures account for approximately 80% of all clavicle fractures and are the focus of this article. In carefully selected cases primary plate fixation of displaced midshaft clavicle fractures improves outcome, results in earlier return to function, and reduces the nonunion and symptomatic malunion rate significantly compared with nonoperative treatment.
McKee
Michael D
MD
Division of Orthopaedics, Department of Surgery, St Michael's Hospital and the University of Toronto, 55 Queen Street East, Suite 800, Toronto, ON M5C 1R6, Canada. mckeem@smh.toronto.on.ca
D001458:Bandages; D001858:Bone Nails; D001860:Bone Plates; D002968:Clavicle / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods; D005594:Fracture Fixation, Intramedullary; D050723:Fractures, Bone; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D016896:Treatment Outcome