Example of change of attitude

As I wrote yesterday, in some injuries and conditions, it is very hard for us surgeons to say is it better to operate or treat nonoperatively. Echalier et al. conclude in their study: This study supports open reduction and internal fixation with an anatomical plate of displaced fractures of the middle third of the clavicle […]

Change of attitude

Objective superiority between treatment options is becoming rarer in orthopaedics. This means that in numerous conditions, such as in Achilles tendon ruptures, distal radius fractures in the elderly patients and midshaft clavicle fractures, superiority of treatment options, namely operative and nonoperative, is based on patient values and preferences. Patient may not value slightly reduced risk […]

Yet another clavicle fracture review

Systematic reviews and meta-analyses on clavicle fractures are never ending sources of publications. We did our share by investigating the potential of sources of heterogeneity among RCTs investigating operative and nonoperative treatment in midshaft claviclar fractures. Our study titled Factors explaining heterogeneity in studies comparing surgical and nonsurgical treatment of midshaft clavicle fractures: a meta-regression […]

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