• A Jubel, J Andermahr, A Prokop, J I Lee, G Schiffer, and K E Rehm.
• Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universität Köln. axeljubel@t-online.de
• Unfallchirurg. 2005 Sep 1; 108 (9): 707-14.

ObjectivesThe aim of this prospective study was to compare the results achieved in two groups of patients treated for mid-clavicular fracture.MethodsThe first group of 27 patients was treated nonoperatively with a rucksack bandage, whereas the second group underwent intramedullary fixation with a titanium pin, using a minimally invasive technique. Within the follow-up period of 6 months, results were evaluated seven times.ResultsDuring the whole period significantly (p<0.05) better results were observed in the group of operated patients concerning shoulder function, Constant score, DASH score, personal satisfaction, pain, and cosmetic result. In the second group return to work occurred in less than half the time of the first group.ConclusionIntramedullary nailing of mid-clavicular fractures is a safe and minimally invasive operation technique. Early functional and cosmetic results are not worse than results after nonoperative treatment with a rucksack bandage.

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