Abstract
Background: Clavicle is a common bone to fracture, and is most often treated with nonsurgical methods. Surgery may become indicated in occasional case of irreducible fracture with considerable displacement, open fracture, floating shoulder, and associated neurovascular injury, non:::union:::. There is still uncertainty about the best surgical method for this condition. In this study, we evaluated the results of intra-medullary screw fixation of clavicle fracture.Methods: In a prospective study between March 2005 and March 2007, 20 clavicular fracture (13 males,7 females) with mean age of 32 years old (20-55), that had indication for surgery, were fixed with intra-medulary cannulated screw through a mini incision. We evaluated time to :::union:::, shoulder range of motion, side effects and patient satisfaction with a mean follow-up of 6 months (4-10 months).Results: The mean time to :::union::: was 10 weeks. The :::union::: was uncomplicated in 19 (95%) patients, while 1 case (5%), the bending of cannulated screw after a new trauma, required replacement by a thicker screw. There was no significant complication after surgery. All the patients were satisfied with the surgery.Conclusions: Cannulated screw is an effective fixation method for the claviclular fractures that are amenable to surgical treatment. Supplemental studies are necessary.
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