Clinical Trial Summary
Clavicular fracture, constitutes 2.6% e 5% of all adult fractures, most are located in the
midshaft clavicle with different degrees of displacement. Conservative methods are commonly
used for midshaft clavicular fractures treatment, but with various unsatisfactory
complications such as nonunion, malunion and shoulders asymmetry. The rate of malunion after
conservative treatment for the midshaft clavicular fractures reached 15%, and 30% patients
were unsatisfied. Recently, early midshaft clavicular fractures could greatly reduce the
incidence rate of nonunion and malunion. Open reduction and plate-screw fixation was
considered as the gold standard with the advantages of firm fixation and earlier postoperative
mobilization, but also with disadvantages of larger incision and more organizations being
exposed, presenting with many postoperative complications. Intramedullary fixation treatment
for mid-clavicular fractures has been favored due to its strengths including small incision,
less periosteal striping, dispersion of stress and simple to operate However, early
intra-medullary implants, such as Hagie pins and Kirschner wires, have been gradually
replaced due to insufficient stability. In addition, various nails such as elastic stable
intramedullar
Fixation of displaced midshaft clavicular fractures with minimally invasive technic as it
helps for early mobilization to the shoulder and more safe, more cosmetically in comparison
to other options.
