title: [Intramedullary nailing in diaphyseal clavicle fractures using minimally invasive percutaneous reduction].
abstract: OBJECTIVE
  Closed reduction and intramedullary nailing is common in diaphyseal clavicle fractures. The aim of this report is to demonstrate a surgical method with minimally invasive percutaneous reduction in cases where closed reduction fails. The procedure is associated with good cosmetic results.
  
  
  METHODS
  Percutaneous reduction using two reduction forceps enables intramedullary nailing without an open procedure.
  
  
  METHODS
  Open, multifragmented or non-dislocated fractures, oblique fractures due to postoperative dislocation or shortening risk, fracture having potential to become compound fractures, neurovascular complications, pseudoarthroses.
  
  
  METHODS
  The patient is in beach-chair position. After an incision, the nail is entered from medial, two reduction forceps are mounted percutaneously at the lateral and medial fragment. After reduction the nail is pushed forward into the lateral fragment. Thereby, the fracture hematoma is not disturbed for the most part.
  
  
  METHODS
  Early functional rehabilitation with maximal abduction and anteversion of 90° for 6 weeks.
  
  
  RESULTS
  Anatomic reduction can be achieved with mild cosmetic impairment.
authors.affiliation: Abteilung Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliche Unfallklink, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland. MaxMueller@bgu-tuebingen.de.
authors.forename: M
authors.initials: M
authors.lastname: Müller
authors.affiliation: Universitätsklinik für Orthopädie und Traumatologie Landeskrankenhaus Salzburg, Salzburg, Österreich.
authors.forename: T
authors.initials: T
authors.lastname: Freude
authors.affiliation: Abteilung Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliche Unfallklink, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Stöckle
authors.affiliation: Abteilung Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliche Unfallklink, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland.
authors.forename: T M
authors.initials: TM
authors.lastname: Kraus
mesh_terms: D002968:Clavicle / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation; D000070799:Open Fracture Reduction / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation*; D016896:Treatment Outcome
keywords: Bone nails; Elastic stable intramedullary nailing; Fracture fixation; Ostheosynthesis; Titanium elastic nailing