Case StudiesFailure of an Intramedullary Fixation Device for a Midshaft Clavicle FractureGriswold, B. Gage MD1; Overgaard, Mikel PA-S2; Kyrkos, Judith G. BS1; Patel, Mihir B. MD3; Parada, Stephen A. MD1Author Information 1Department of Orthopaedics, Augusta University Medical Center, Augusta, Georgia 2Physician Assistant Program, Augusta University, Augusta, Georgia 3Medical College of Georgia, Augusta University, Augusta, Georgia Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSJOPA/A123). JBJS Journal of Orthopaedics for Physician Assistants: October-December 2020 - Volume 8 - Issue 4 - p e20.00025 doi: 10.2106/JBJS.JOPA.20.00025 Buy Metrics Abstract This case report describes failure of an intramedullary nail that occurred 10 weeks after screw implantation in a patient who initially presented with a notably displaced midshaft fracture. Failure occurred after radiographic evidence of appropriate fracture alignment and hardware placement with no identifiable preceding trigger. The patient subsequently underwent revision surgery with superiorly based plating and is recovering with no complications to date. This case report and lack of related research shows that this failure needs further exploration. Copyright © 2020 by The Journal of Bone and Joint Surgery, Incorporated.