Systematic review compares treatment methods for midshaft clavicular fractures, indicating no long-term functional benefits of surgery.
Surgical management offers higher union rates and faster recovery but does not demonstrate significant long-term advantages in functional outcomes compared to conservative treatment. Complication rates are similar, with distinct profiles. Clinicians should prioritise patient-centred decision-making, considering individual preferences and clinical contexts, as operative intervention may not significantly enhance long-term outcomes. Further research should perform subgroup analyses to refine management strategies.
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Papaleontiou et al. (2026) studied this question.
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