Should displaced clavicle fractures be treated with open reduction internal fixation

Skip to end of metadata
Go to start of metadata

Should displaced clavicle fractures be treated with open reduction and internal fixation or nonoperative management?

  1. Jun 21, 2009

    Let's keep our eyes on the big picture: most clavicular fractures do very well with closed treatment. Yes, some are so displaced that a poor result with non-op treatment can be predicted; and for this subset, surgery should be selected at the outset. Yet that's a far cry from considering operative fixation as the default. So I believe the challenge to the community of surgeons is to devise a reproducible metric that predicts failure of non-op treatment. With that in hand, we can better choose the ideal approach.

    PS we should not forget the risk of iatrogenic injury to the vasculature lurking right under the bone- they don't call them the subclavian vessels for nothing! A recent study found no such occurences, but I would be (pleasantly) surprised to find that to be the case if surgery becomes the community standard.

Unknown macro: {rate}
Labels
Unknown macro: {corr}
Unknown macro: {springerlink}