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International Orthopaedics

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01-08-2013 | Original Paper

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

Authors: Guo-dong Liu, Song-lin Tong, Shan Ou, Le-shun Zhou, Jun Fei, Guo-xin Nan, Jian-wen Gu

Published in: International Orthopaedics | Issue 8/2013

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.

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Title: Operative versus non-operative treatment for clavicle fracture: a meta-analysis
Authors: Guo-dong Liu
Song-lin Tong
Shan Ou
Le-shun Zhou
Jun Fei
Guo-xin Nan
Jian-wen Gu
Publication date: 01-08-2013
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 8/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-1871-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Purpose

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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