Abstract
59 patients with fresh fractures of the middle third of the clavicle were treated surgically from August 1992 to December 1997. The surgical technique by intra-medullary nailing with a cannulated cancellous screw (CCS) was mainly performed. The age of the patients at surgery ranged from 14 to 83 years old (average age: 40 years old). They consisted of 44 males and 15 females, 32 right side and 27 left side. In the beginning, 10 patients were operated with K-wires. From December 1993, for the purpose of protecting against the K-wire and improving the fixation, intramedullary nailing surgery using CCS was performed on 46 patients. 3 patients were operated with 1/3 tubular plates because of the narrow intramedullary space for CCS. 34 patients who were operated with CCS with only a 1cm skin incision at an average time of 33 minutes. In this way, intramedulary nailing surgery using CCS was performed with small skin incision, short operation time and moderately good fixation. CCS was however dissatisfactory at the rotational fixation and 1 patient resulted in pseudoarthrosis.
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