Overtreatment of displaced midshaft clavicle fractures: A survey of hospitals in Sweden, Denmark, and Finland

Ban, IlijaCopenhagen Univ Hosp Hvidovre, Dept Orthopaed Surg, Copenhagen, Denmark.;Copenhagen Univ Hosp Hvidovre, Clin Orthoped Res Hvidovre, Copenhagen, Denmark. (författare)

Overtreatment of displaced midshaft clavicle fractures : A survey of hospitals in Sweden, Denmark, and Finland

Background and purpose The best treatment for displaced clavicle fractures has been debated for decades. Operative treatment has become more common. However, several randomized trials comparing non-operative and operative treatment have not shown any compelling evidence in favor of surgery. We identified the preferred treatment of displaced midshaft clavicle fractures at public hospitals in 3 countries in Scandinavia.Patients and methods A purpose-made multiple-choice questionnaire in English was sent to all public hospitals in Denmark, Sweden, and Finland. This was addressed to the orthopedic surgeon responsible for treatment of clavicle fractures, and completed questionnaires were obtained from 85 of 118 hospitals.Results In the 3 countries, 69 of the 85 hospitals that responded would treat displaced clavicle fractures operatively. Clear criteria for treatment allocation were used at 58 of the hospitals, with the remaining 27 using individual assessment in collaboration with the patient. Precontoured locking plates were mostly used, placed either superiorly (64/85) or anteriorly (10/85).Interpretation Displaced midshaft clavicle fractures are mainly treated operatively in Sweden, Denmark, and Finland. This treatment is not supported by compelling evidence.

Nowak, JanUppsala universitet,Institutionen för kirurgiska vetenskaper(Swepub:uu)jannowak (författare)
Virtanen, KaisaUniv Helsinki, Cent Hosp, Dept Surg, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland. (författare)
Troelsen, AndersCopenhagen Univ Hosp Hvidovre, Dept Orthopaed Surg, Copenhagen, Denmark.;Copenhagen Univ Hosp Hvidovre, Clin Orthoped Res Hvidovre, Copenhagen, Denmark. (författare)
Copenhagen Univ Hosp Hvidovre, Dept Orthopaed Surg, Copenhagen, Denmark.;Copenhagen Univ Hosp Hvidovre, Clin Orthoped Res Hvidovre, Copenhagen, Denmark.Institutionen för kirurgiska vetenskaper (creator_code:org_t)

Ingår i:Acta Orthopaedica: Medical Journals Sweden AB87:6, s. 541-5451745-36741745-3682

Av författaren/redakt...: Ban, Ilija; Nowak, Jan; Virtanen, Kaisa; Troelsen, Anders

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.