Had what my doc called a Type III (bordering on what would be IV) due to an idiot in an SUV who thought it would be a good idea to cross two lanes of traffic to stop for a 3pt turn directly in front of me.

Even so, he gave me the option of letting it heal in place, but given my activity level and age (32), we decided to repair it. As far as screws, he said that he preferred not to use them as he'd seen too many cases where they tended to propogate cracks in the bone. So I had to deal with pins (kept 'em!) and having a bit of the end sawn off, as well as a fairly miserable recovery period.

but! happily enough, I'm reasonably well recovered after five-ish months, I'm back on the road and trail, and it only hurts occasionally.

good luck with yours! hope it's a totally routine and uneventful recovery! (that hospital food just sucks.)

-alex.