May 27, 2016
Although high union rates were seen in patients with midshaft clavicle fractures who underwent precontoured plate fixation, according to study results, patients who required hardware removal reported worse long-term outcomes than patients who retained hardware.
Researchers identified 7,826 patients from a private-payer national database who underwent clavicle open reduction and internal fixation (ORIF). Patients were followed for 2 years to evaluate hardware removal and revision fixation. Investigators also retrospectively identified 73 patients with midshaft clavicle fractures who underwent plate fixation at their institution. Patient-reported outcomes were assessed with the DASH, EQ-5D quality of life assessment and a survey on hardware-related outcomes.