Treatment of Displaced Distal Clavicle Fractures With a Single Cortical Screw

The authors retrospectively evaluated the effects of a single cortical screw in the open reduction and internal fixa - tion of displaced distal clavicle fractures. Fifteen patients with- out associated acromioclavicular joint dislocation were treated by open reduction and internal fixation with a single cortical screw (4.5-mm diameter, 60-mm length) between 2004 and 2011. Mean follow-up was 39.2 months (range, 13-84 months). Reduction with a fracture gap of less than 1 mm and solid union were achieved in all cases. Delayed superficial infection devel - oped in 1 patient. All other patients had good to excellent final Constant-Murley functional results.