Overtreatment of displaced midshaft clavicle fractures : A survey of hospitals in Sweden, Denmark, and Finland

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Ban , I , Nowak , J , Virtanen , K & Troelsen , A 2016 , ' Overtreatment of displaced midshaft clavicle fractures : A survey of hospitals in Sweden, Denmark, and Finland ' Acta Orthopaedica , vol. 87 , no. 6 , pp. 541-545 . DOI: 10.1080/17453674.2016.1191275

Title: Overtreatment of displaced midshaft clavicle fractures : A survey of hospitals in Sweden, Denmark, and Finland
Author: Ban, Ilija; Nowak, Jan; Virtanen, Kaisa; Troelsen, Anders
Contributor: University of Helsinki, I kirurgian klinikka (Töölö)
Date: 2016-12
Language: eng
Number of pages: 5
Belongs to series: Acta Orthopaedica
ISSN: 1745-3674
URI: http://hdl.handle.net/10138/172701
Abstract: Background and purpose The best treatment for displaced clavicle fractures has been debated for decades. Operative treatment has become more common. However, several randomized trials comparing non-operative and operative treatment have not shown any compelling evidence in favor of surgery. We identified the preferred treatment of displaced midshaft clavicle fractures at public hospitals in 3 countries in Scandinavia.Patients and methods A purpose-made multiple-choice questionnaire in English was sent to all public hospitals in Denmark, Sweden, and Finland. This was addressed to the orthopedic surgeon responsible for treatment of clavicle fractures, and completed questionnaires were obtained from 85 of 118 hospitals.Results In the 3 countries, 69 of the 85 hospitals that responded would treat displaced clavicle fractures operatively. Clear criteria for treatment allocation were used at 58 of the hospitals, with the remaining 27 using individual assessment in collaboration with the patient. Precontoured locking plates were mostly used, placed either superiorly (64/85) or anteriorly (10/85).Interpretation Displaced midshaft clavicle fractures are mainly treated operatively in Sweden, Denmark, and Finland. This treatment is not supported by compelling evidence.
Subject: NONOPERATIVE TREATMENT
PLATE OSTEOSYNTHESIS
NONUNION
SEQUELAE
BANDAGE
TRIAL
3126 Surgery, anesthesiology, intensive care, radiology
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