Format

Send to

Choose Destination
See comment in PubMed Commons below
Int Orthop. 2013 Aug;37(8):1495-500. doi: 10.1007/s00264-013-1871-z. Epub 2013 May 5.

Operative versus non-operative treatment for clavicle fracture: a meta-analysis.

Author information

1
Department 8, Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, 400042, People's Republic of China.

Abstract

PURPOSE:

The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures.

METHOD:

Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central Register of Controlled Trials up to December 2011. The quality of the included studies was assessed by two authors. A meta-analysis was carried out on homogeneous studies. Five studies involving 633 clavicle fractures were included.

RESULTS:

The differences in nonunion [risk ratio (RR) 0.12, 95 % confidence interval (CI) 0.05-0.29], malunion (RR 0.11, 95 % CI 0.04-0.29) and neurological complications (RR 0.45, 95 % CI 0.25-0.81) were statistically significant between operative and non-operative treatment. There was no statistically significant difference in delayed union (RR 0.78, 95 % CI 0.31-1.95).

CONCLUSION:

Operative treatment is better than non-operative treatment, but decisions should be made in accordance with specific conditions for clinical application.

PMID:
23645080
PMCID:
PMC3728389
DOI:
10.1007/s00264-013-1871-z
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Support Center