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External fixators in the treatment of midshaft clavicle non-unions : a systematic review
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Barlow, Timothy, Upadhyay, Piyush K. and Barlow, David (2014) External fixators in the treatment of midshaft clavicle non-unions : a systematic review. European Journal of Orthopaedic Surgery & Traumatology, Volume 24 (Number 2). pp. 143-148. doi:10.1007/s00590-013-1173-6 ISSN 1633-8065.
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Official URL: http://dx.doi.org/10.1007/s00590-013-1173-6
Abstract
Non- or mal-union of the clavicle is reported to occur in up to 15 % of conservatively treated fractures: the purpose of this systematic review is to examine the evidence for the use of external fixation in the treatment of clavicular non-union. We performed a search of MEDLINE and Embase, including all papers using external fixators for the treatment of clavicular non-union. Four papers satisfied our eligibility criteria: three case series and one case–control study. Level of evidence and quality assessment scoring were performed using published methods. Due to the heterogeneity of the study populations and interventions, no attempt at meta-analysis was made. External fixation in hypertrophic non-union of the clavicle, but not atrophic non-union, appears to be a reasonable treatment option. A pragmatic, multicentre, randomised controlled trial comparing external fixation and open reduction internal fixation in the treatment of hypertrophic non-union of the clavicle would be valuable.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | European Journal of Orthopaedic Surgery & Traumatology | ||||
| Publisher: | Springer | ||||
| ISSN: | 1633-8065 | ||||
| Official Date: | 20 February 2014 | ||||
| Dates: |
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| Volume: | Volume 24 | ||||
| Number: | Number 2 | ||||
| Page Range: | pp. 143-148 | ||||
| DOI: | 10.1007/s00590-013-1173-6 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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