Closed reduction with intramedullary fixation for midclavicular fractures.

Clavicular fractures account for approximately 4% of all fractures, and 80% occur in the middle third.1,2 Surgery is rarely indicated except for neurovascular compromise, skin compromise, multiple injuries, and open fractures. Various modes of treatment have been proposed, but are associated with complications.3 Increased nonunion rate and unaesthetic scar were the most important factors resulting in poor satisfaction. This article describes a technique using closed reduction and percutaneous intramedullary fixation for midclavicular fractures.