Clavicle fracture

Allman

• Middle: 80%
• Lateral: 15%
• Medial:5%

Sarah et al

• JBJS 2017, Netherlands
• Meta analysis of level 1 RCT
• Displaced mid shaft #
• Outcome evaluated: Nonunion, DASH score, Secondary operations
• 16% nonunion in non operated
• 2% in operated
• 70% non union went for operation
• Secondary operation 17% both group

Conclusion

• Plate fixation significantly reduces non union
• No difference in DASH and Secondary operation
• 1/3 did not opt for reoperation after non union
• They did not advocate routine plate fixation for all patients, but a shared decision making