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Open reduction and internal fixation with plating
91%
2031/2222
Open reduction and percutaneous pinning
1%
21/2222
Closed reduction and percutaneous pinning
22/2222
Closed reduction and external fixation
0%
1/2222
Nonoperative treatment with a sling and early range of motion
6%
136/2222
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Figure A shows a left clavicle fracture with significant shortening. Open reduction and internal fixation with plate and screw constructs of displaced, shortened clavicle fractures has been shown to lead to the best patient reported functional outcomes as well as have the least incidence of nonunion and symptomatic malunion. Factors associated with poor functional outcome as well as nonunion in these injuries include fracture shortening >2cm, fracture comminution, fracture displacement > 100%, female gender, and advancing age. The referenced article by Khan et al is an excellent review of the indications, treatment methods and outcomes of clavicle fractures.
3.8
(33)
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