Zeitschrift für Orthopädie und Unfallchirurgie
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Randomized Controlled Trial Comparative Study
[Intramedullary osteosynthesis in fractures of the mid-third of the clavicle in sports traumatology].
In Germany, non-operative treatment using a figure of eight dressing is the most common method for managing fractures of the mid-third of the clavicle. This treatment is chosen preferably even in cases of dislocated fractures. The described procedures of open osteosynthesis are characterised by a huge access trauma. Up to date literature shows the advantages of intramedullary pin osteosynthesis, which can be considered as a minimally invasive procedure. In this study we compare the results of pin-osteosynthesis with the non-operative treatment in athletes. ⋯ The intramedullary titanium pin osteosynthesis is a promising alternative with better results. Up to date literature and our own results prove the advantages of this minimally invasive osteosynthesis. This procedure allows sports activities to be resumed soon after the operation. As intramedullary pin osteosynthesis is an ideal operation of fractures of the middle third of the clavicle, this comparatively easy procedure with few complications should be more widespread.