Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Feb 2018
Review Meta AnalysisOpen reduction-internal fixation versus intramedullary nailing for humeral shaft fractures: an expected value decision analysis.
Previous randomized controlled studies and meta-analyses have failed to collectively favor either open reduction-internal fixation (ORIF) or intramedullary nailing (IMN) fixation. The purpose of our investigation was to elucidate the optimal decision between ORIF and IMN for acute traumatic operative humeral shaft fractures through an expected value decision analysis. ⋯ Our expected value decision analysis demonstrates that patients favor ORIF over IMN as the optimal treatment decision for an acute traumatic humeral shaft fracture.