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. 2010 Oct 15;107(41):711–717. doi: 10.3238/arztebl.2010.0711

Table 2. Advantages and disadvantages of conservative and surgical treatment of midclavicular fractures.

Treatment Advantages Disadvantages
Conservative
  • No operation

  • No stay in hospital

  • Stable only when fracture has healed

  • Healing in malposition

  • Longer persistence of pain

  • Longer period of inability to work

  • Longer abstinence from sports

  • Rucksack bandage

  • Higher rate of non-union

Surgical
  • Rapid pain reduction

  • Better mobility in early phase

  • Stable enough for loading immediately after operation

  • Restoration of shoulder girdle symmetry

  • Low rate of non-union

  • No malposition

  • Insufflation anesthesia during operation

  • General and specific risks of surgery

  • Stay in hospital

  • Metal needs to be removed

  • Scarring