الفهرس 
Operative versus non-operative treatment of midshaft clavicle fractures, in absence of absolute indications for ORIF
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Abstract
Background: There is a growing interest towards operative management. Clavicle plating can be on anterior or superior surface. We sought to compare patient-oriented outcomes and complication rates following plating on both surfaces.
Materials and methods: This was a prospective clinical trial study involving 36 patients with displaced mid shaft clavicle fractures were randomized by closed envelope to operative treatment with superior plates (18 patients) or anterior plates (18 patients). Outcome analysis included standard clinical 6-months follow-up, including patient- oriented functional scores (Constant shoulder score and VAS pain score), in addition to plain radiographs. There were no statistical differences between the two groups with respect to patient demographics, mechanism of injury or fracture pattern.
Results: There was no statistically significant difference between plating on superior surface and anterior surface regarding union, functional scores, return to ADLs, hardware problems or complications.
Conclusion: Both superior and anterior clavicle plating are safe treatment methods for displaced clavicle fractures and they lead to similar operative outcomes.