Operative treatment of displaced midshaft clavicle fractures: has randomised control trial evidence changed practice patterns?

ABSTRACT:

Objectives

To determine if level 1 evidence from a landmark trial changed practice patterns for treatment of patients with displaced midshaft clavicle fractures.

Design

Retrospective cohort study.

Setting

Two level 1 trauma centres.

Participants

Displaced midshaft clavicle fractures.

Results

686 patients met inclusion criteria. The pretrial cohort (n=108) was 68.5% male, with a mean age of 37.7 (±13.9) years. The post-trial cohort (n=578) was 76.1% male, with a mean age of 41.9 (±12.7) years. There was nearly a 10-fold increase in the patients treated with openreduction and internal fixation (ORIF) in the post-trial cohort (34.1%) compared with the pretrial cohort (3.7%) (p<0.001). Patients in the post-trial cohort were more likely to undergo ORIF if the

SUBMITTER: Schneider P 

PROVIDER: S-EPMC6731861 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature