Plating versus conservative treatment in mid shaft fractures of clavicle: A Systematic Review | ||
| Benha Medical Journal | ||
| Article 2, Volume 36, Issue 1, April 2019, Pages 30-50 | ||
| Document Type: Review Article | ||
| DOI: 10.21608/bmfj.2019.14530.1013 | ||
| Authors | ||
| Mohamed Mohamed ElShrbasy* 1; Ahmad Sobhy Allam2; abdelsalam Abd Elaleem Ahmad3; Elsayed Mahmoud Bayomy4 | ||
| 1Hay gamaa | ||
| 2orthopedic department Benha university | ||
| 3Bebha | ||
| 4Benha university | ||
| Abstract | ||
| Multiple meta-analyses have been performed to compare surgical and conservative interventions for treating midshaft clavicular fractures. The purposes of this search were to conduct a systematic review of meta-analyses comparing surgical and conservative interventions for the treatment of midshaft clavicular fractures, to help decision makers interpret and choose among discordant met- analyses, and to provide treatment recommendations through the best available evidence. Fourteen studies were identified meeting the inclusion criteria. Conservative treatment was found to result in poor clinical outcomes and a high incidence of secondary defects, including nonunion, symptomatic malunion, neurological symptoms and overall complications. Extracted data showed that 16% of nonoperative group developed a nonunion, which is significantly higher than the 1.9% rate of nonunion in the operative group. Symptomatic malunion was also significantly more common in the nonoperative group (22% in the nonoperative group versus 1.9% in the operative group). Functional outcome differences are probably multifactorial because most individuals who developed nonunion or symptomatic malunion had significantly lower outcome scores. Conservative treatment commonly leads to more instability , nonunion and malunion. | ||
| Keywords | ||
| clavicle; midshaft; fracture; intramedullary; plating and conservative | ||
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