Overtreatment of displaced midshaft clavicle fractures
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Overtreatment of displaced midshaft clavicle fractures. / Ban, Ilija; Nowak, Jan; Virtanen, Kaisa; Troelsen, Anders.
I: Acta Orthopaedica, Bind 87, Nr. 6, 12.2016, s. 541-545.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Overtreatment of displaced midshaft clavicle fractures
AU - Ban, Ilija
AU - Nowak, Jan
AU - Virtanen, Kaisa
AU - Troelsen, Anders
PY - 2016/12
Y1 - 2016/12
N2 - 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.
AB - 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.
KW - Adult
KW - Bone Plates
KW - Clavicle
KW - Cross-Sectional Studies
KW - Denmark
KW - Female
KW - Finland
KW - Fracture Fixation, Internal
KW - Fractures, Bone
KW - Fractures, Ununited
KW - Humans
KW - Incidence
KW - Male
KW - Medical Overuse
KW - Sweden
KW - Treatment Outcome
KW - Journal Article
KW - Multicenter Study
KW - Randomized Controlled Trial
U2 - 10.1080/17453674.2016.1191275
DO - 10.1080/17453674.2016.1191275
M3 - Journal article
C2 - 27225678
VL - 87
SP - 541
EP - 545
JO - Acta Orthopaedica
JF - Acta Orthopaedica
SN - 1745-3674
IS - 6
ER -
ID: 173704968