Minimal Invasive Fixation of Displased Midshaft Clavicular Fractures by Flexible Intramedullary Nail, KHALED F. EBIDO, SABRY M. MANAA and HANY R. ANWAR
Abstract
Background: Operative fixation of a displaced fracture of the clavicular shaft results in improved functional outcome and a lower rate of malunion and nonunion compared with non-operative treatment. Hardware removal remains the most common reason for repeat intervention in the operative group.
Methods: In this article, we use a surgical technique for anterograde pinning of displaced midshaft clavicle fractures. This procedure is less invasive and reduces tissue trauma when compared to plate fixation. From May 2009 to June 2011, 25 patients with displaced clavicle fractures have been stabilized with a flexible titanium nail.
Results: Intramedullary flexible titanium nail fixation of midshaft clavicle fractures represents an excellent result alternative to plate and screw fixation for acute fractures and can be performed through a small cosmetically pleasing incision.