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ACE Report #9618
Ace Report Cover Trauma

Disability & implant irritation with intramedullary nail vs. plate for midshaft clavicle fractures

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:2

High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures

Clin Orthop Relat Res. 2017 Feb;475(2):532-539

Contributing Authors: ER Hammacher RM Houwert M Van Heijl MH Verhofstad EJ Verleisdonk MG Dijkgraaf SA Meylaerts MH Hulsmans

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120 patients with a displaced midshaft clavicle fracture were randomized to fixation with either an intramedullary nail or a plate. Patients were assessed for disability, incidence of implant-related irritation, and incidence of removal due to implant-related irritation. Results on the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score demonstrated no significant difference betwee...

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