Clavicle Diaphyseal simple, transverse

Intramedullary nailing

Flexible intermedullary nail

Main indication: Shortening and displacement > 2 cm

Skill: Some specialized surgical experience
Equipment: Simple surgical and imaging resources

Supporting indications

  • High demand patients
  • Associated pathology of the shoulder girdle, scapula fractures or LSSS (floating shoulder)

Advantages

  • Less pain and quick recovery of function (early return to work)
  • Minimally invasive procedure
  • Small scars

Disadvantages

  • General surgical risk
  • Risk of compromising subclavicular neurovascular structures
  • Prominent pin end necessitating secondary pin shortening

Contraindications

  • Narrow intramedullary canal
  • Infection
  • Metal allergy

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

Appendix

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2.0 2016-12-05