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Recent literature recommends consideration of surgical treatment for completely displaced and/or significantly shortened middle-third clavicle fractures. In certain fracture patterns, intramedullary clavicle fracture fixation has been shown to be an effective option for treatment while offering the potential advantages of reduced soft tissue irritation and a relative paucity of potentially bone-weakening screw holes when compared with traditional plate constructs. While plate constructs are widely used with reliably high union rates and functional outcomes, hardware removal due to symptomatic prominence is often required. , Intramedullary fixation offers a lower profile solution, which can be performed through a smaller incision(s).
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