Abstract
▪ Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures. ▪ Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous. ▪ However, operative treatment is associated with an increased risk of complications and re-operations, while long-term shoulder functional outcomes are similar. ▪The optimal treatment strategy should be one tailor-made to the patient and his/her specific needs and expectations by utilizing a shared decision-making model.
Original language | English |
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Pages (from-to) | 374-380 |
Number of pages | 7 |
Journal | EFORT Open Reviews |
Volume | 3 |
Issue number | 6 |
DOIs | |
Publication status | Published - 1 Jun 2018 |
Externally published | Yes |
Keywords
- Clavicle
- Conservative
- Cost effectiveness
- Fracture
- Midshaft
- Operative
- Shared decision-making
- Treatment