Fig. 2.

Surgical procedures of intramedullary nailing using our self-designed TEN. (A) external location with Kirschner wire; (B) the length of TEN measured under the fluoroscopic control of C-arm machine; (C) the medullary cavity opening with a small size incision in the inner end of clavicle; (D) the insertion of TEN from the inner end of clavicle; (E) the outlook after TEN is completely inserted into the medullary cavity; (F) a good position of TEN is seen using C-arm machine; (G) locking the screw at the tail part of TEN; (H) the postoperative outlook of small size incision; (I) a radiograph obtained just after surgery shows a good position of TEN and satisfactory reduction of fracture.