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Clavicle Fractures: Plate Versus Intramedullary Fixation

Alves, Kristin MD; Jupiter, Jesse MD

Techniques in Shoulder & Elbow Surgery: June 2014 - Volume 15 - Issue 2 - p 55–59
doi: 10.1097/BTE.0000000000000007

Although in the past clavicle fractures have traditionally been managed with conservative treatment, several studies have led to a change in management. Over the past few decades various implants and techniques have evolved for both plate fixation and intramedullary fixation in an attempt to obtain more satisfactory clinical results. Proponents for both intramedullary fixation and plate fixation exist and several comparison studies have been published with no strong conclusion. The studies currently involve several surgical techniques and implants with a lack of consistency in findings. This lack of conclusive evidence calls for more adequately designed prospective randomized controlled trials with more sound methods with adherence to surgical technique and implants.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA

The authors declare no conflict of interest.

Reprints: Kristin Alves, MD, 55 Fruit Street, Yawkey Bldg Suite 2100, Boston, MA 02114 (e-mail:

© 2014 by Lippincott Williams & Wilkins, Inc.