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Overtreatment of displaced midshaft clavicle fractures: A survey of hospitals in Sweden, Denmark, and Finland
Copenhagen Univ Hosp Hvidovre, Dept Orthopaed Surg, Copenhagen, Denmark.;Copenhagen Univ Hosp Hvidovre, Clin Orthoped Res Hvidovre, Copenhagen, Denmark..
Univ Hosp, Dept Orthopaed Surg, Uppsala, Sweden..
Univ Helsinki, Cent Hosp, Dept Surg, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland..
Copenhagen Univ Hosp Hvidovre, Dept Orthopaed Surg, Copenhagen, Denmark.;Copenhagen Univ Hosp Hvidovre, Clin Orthoped Res Hvidovre, Copenhagen, Denmark..
2016 (English)In: Acta Orthopaedica, ISSN 1745-3674, E-ISSN 1745-3682, Vol. 87, no 6, p. 541-545Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2016. Vol. 87, no 6, p. 541-545
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:uu:diva-312042DOI: 10.1080/17453674.2016.1191275ISI: 000388757800002PubMedID: 27225678OAI: oai:DiVA.org:uu-312042DiVA, id: diva2:1062364
Available from: 2017-01-05 Created: 2017-01-04 Last updated: 2018-01-13Bibliographically approved

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