Table 6.

Shows recent studies comparing conservative with surgical treatment.

Robinson CM. J Bone Joint Surg Am. 2013 Sep 4; 95(17):1576–84	Prospective randomised multi centric study comparing plating with conservative treatment	Plating reduces chances of non union and results in better functional outcome but can not be recommended for every case
Virtanen KJ et al J Bone Joint Surg Am. 2012 Sep 5; 94(17):1546–53	Prospective randomised study comparing conservative with plate fixation	Higher non union rates at one year in conservatively treated group
McKee RC. J Bone Joint Surg Am. 2012 Apr 18; 94(8):675–84.	Meta analysis of conservative verses operative treatment	Operative treatment has significantly lower rate of non union and symptomatic malunion with early return of function
Kaisa J Virtanen et al Acta Orthopaedica 2012; 83(1): 65–73	A systematic review of 1190 patients from the literature	Patients treated surgically had better functional outcome in short term. Surgery to be reserved for young active patients who want to return to previous activity level early.
Fardin Mirzatolooei. Acta Orthop Traumatol Turc. 2011; 45(1):34–40	Prospective randomised trial comparing plating with conservative treatment	Open reduction and plating of comminuted fracture of clavicle has better outcome than conservative treatment
Vander Have KL. J Pediatr Orthop. 2010 Jun; 30(4):307–12	Comparison of conservative treatment with plating in adolescents (case control study)	Plating group was found to have shorter union time, better pain relief and less complications.
Altamimi SA, McKee MD; Canadian Orthopaedic Trauma Society. J Bone Joint Surg Am. 2008 Mar; 90 suppl 2 Pt 1:1–8	Prospective randomised multi centric study comparing plating with conservative treatment	At one year surgically treated had better functional outcome and lower rates of malunion and non union