title: [Minimal invasive biological osteosynthesis of the clavicle with a titanium nail].
abstract: Until December 2001 84 midclavicular fractures in 80 patients were treated with intramedullary nailing. Postoperatively there was a significant decrease of pain and a significant increase of mobility compared to the situation preoperatively. 6 months after hardware removal the mean Constant-Score was 97.4 points. There was one none union. In one patient there was a loss of reduction with shortening of 1.5 cm. In 5 patients a shortening of the proximal end of the nail had to be performed, due to painful skin irritation. Intramedullary nailing of midclavicular fractures is a safe and minimally invasive operation technique. It should be offered to the patient as an alternative to conservative treatment.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Universität zu Köln, Joseph-Stelzmann-Strasse 9, 50924 Köln. axeljubel@t-online.de
authors.forename: A
authors.initials: A
authors.lastname: Jubel
authors.forename: J
authors.initials: J
authors.lastname: Andermahr
authors.forename: A
authors.initials: A
authors.lastname: Prokop
authors.forename: J
authors.initials: J
authors.lastname: Isenberg
authors.forename: K E
authors.initials: KE
authors.lastname: Rehm
mesh_terms: D000328:Adult; D001858:Bone Nails; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011446:Prospective Studies; D011859:Radiography; D012086:Reoperation; D014025:Titanium
chemical_list: D014025:Titanium
vernacular_title: Minimal-invasive biologische Osteosynthese der Klavikula mit einem Titannagel.