OBJECTIVE: To compare @entity5806 ( @entity5806 ) with nonoperative treatment of fully displaced midshaft @entity174 in adults. DESIGN: The study was a randomized, controlled, clinical trial. SETTING: Level 1 @entity130 center. @entity1 AND METHODS: Sixty @entity1 between 18 and 65 years of age participated and completed the study. They were randomized to either operative or nonoperative treatment with a 2-year follow-up. INTERVENTION: Thirty @entity1 were treated with a simple shoulder sling and 30 @entity1 with @entity5806 within 3 days after @entity130 . MAIN OUTCOME MEASUREMENT: Complications after operative and nonoperative treatments, Disabilities of the Arm, Shoulder and Hand (DASH) score and Constant Shoulder Score for outcome measurement, and clavicular shortening. RESULTS: Fracture union was achieved in all @entity1 in the operative group, whereas nonunion was observed in 3 of 30 @entity1 of the nonoperative group. Two symptomatic malunions required corrective osteotomy in the nonoperative group. Medial nail protrusion occurred in 7 cases in the operative group. Implant failure with revision surgery was necessary in 2 @entity1 after an additional adequate @entity130 . DASH scores were lower in the operative group throughout the first 6 months and 2 years after @entity130 , with a significant difference during the first 18 weeks. Constant scores were significantly higher after 6 months and 2 years after intramedullary stabilization. @entity1 in the operative group showed a significant improvement of posttraumatic clavicular shortening; they were also more satisfied with cosmetic appearance and overall outcome. CONCLUSIONS: @entity5806 of displaced midshaft @entity174 resulted in a lower rate of nonunion and delayed union, a faster return to daily activities, and a better functional outcome. Clavicular shortening was significantly lower, and overall satisfaction was higher in the operative group.

Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft XXXX -a randomized, controlled, clinical trial.

@entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity5806 :: ('MESH:D009260', 'Disease') :: ['elastic stable intramedullary nailing', 'ESIN'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['clavicular fractures']
@entity174 :: (MESH:D050723,Disease) :: ['clavicular fractures']
