Abstract
There are many difficulties in the treatment of fractures of the distal clavicle. Most of such fractures are intraarticular fractures, so the optimal treatment is anatomical reduction and internal fixation. Some surgeons use plate screws for achieving stability of the distal fragment. However, as screw fixation is sometimes weak, there is a need to insert many screws into the distal fragment, and treatment with tension band wires is performed. As we cannot use a clavicle plate, a tension band wire and strengthen cerclage wire. If good fixation stability is established early, ROM training can be inintiated, allowing good results and an early return to society.
