Minimal early functional gains after operative treatment of midshaft clavicular fractures. A meta-analysis of 10 randomized controlled trials including 1333 patients
Operative treatment of midshaft clavicular fractures does not improve clinical outcome after one year compared with non-operative treatment but may accelerate recovery.
The study is a meta-analysis of 10 RCTs (including our own) with a total of 1333 patients aiming to investigate whether surgical treatment results in faster functional recovery than non-operative treatment.
At all time-points (6 weeks, 3 months, 6 months) there was a better DASH score for the operatively treated patients. The difference was 9.4 after 6 weeks and decreased to 3.2 after 6 months. Although the difference in DASH is barely clinically relevant, some patients may benefit from surgical treatment. The results can facilitate a more individualized treatment in relation to the individual patient's wishes and needs.
Article
The study is a meta-analysis of 10 RCTs (including our own) with a total of 1333 patients aiming to investigate whether surgical treatment results in faster functional recovery than non-operative treatment.
At all time-points (6 weeks, 3 months, 6 months) there was a better DASH score for the operatively treated patients. The difference was 9.4 after 6 weeks and decreased to 3.2 after 6 months. Although the difference in DASH is barely clinically relevant, some patients may benefit from surgical treatment. The results can facilitate a more individualized treatment in relation to the individual patient's wishes and needs.
Article
Contact: Steen Lund Jensen
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