Intramedullary Fixation of Diaphyseal Clavicle Fractures Using the Rockwood Clavicle Pin: Review of 86 Cases

William J Marlow*, Peter Ralte, Syam PK Morapudi, Rashpal Bassi, Jochen Fischer, Mohammad Waseem
Department of Trauma & Orthopaedics, Macclesfield District General Hospital, Victoria Road, Macclesfield, SK10 3BL, UK

Article Metrics

CrossRef Citations:
Total Statistics:

Full-Text HTML Views: 1169
Abstract HTML Views: 425
PDF Downloads: 256
Total Views/Downloads: 1850
Unique Statistics:

Full-Text HTML Views: 721
Abstract HTML Views: 270
PDF Downloads: 192
Total Views/Downloads: 1183

Creative Commons License
© Marlow et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Trauma & Orthopaedics, Macclesfield District General Hospital, Victoria Road, Macclesfield, SK10 3BL, UK; Tel: 01625 66 13 15; E-mail:



This study reports the safety, efficacy and functional and patient centred outcomes of the largest published series of patients treated with the Rockwood clavicle pin (intramedullary device) to date.

Patients and Methods:

A retrospective review of case notes, radiographs and follow-up by questionnaire was conducted. 86 patients were operated upon, 70 for acute fractures (group A) and 16 for non-union (group B). Results: Rate of non-union was 2 (2.9%) in group A and 0 in group B. Mean Disability of the Arm, Shoulder and Hand (DASH) scores were 5.9 for group A and 8.7 for group B. Satisfaction was rated as good or excellent in 61 (96.8%) of responders and all patients would have the procedure again. Pin prominence was the predominant complication in both groups and all patients underwent a second procedure for metalwork removal.


Rockwood clavicle pins are as effective as plates in achieving union and maintaining length, however the advantages of this less invasive technique should be weighed against the common complication of pin prominence and the inconvenience of removal of metalwork in all cases.

Keywords: Clavicle [A02.835.232.087.227], Fracture Fixation, Intramedullary [E04.555.300.300.300], Fracture Healing [G16.100.856.891.500], Fractures, Malunited [C26.404.249], Fractures, Ununited [C26.404.468], Rockwood Clavicle Pin, Surgical Procedures, Minimally Invasive [E04.800].