A, Determination of osteotomy plane using fluoroscopy. B, Insertion of nail under fluoroscopic control. (From Smekal V, Deml C, Kamelger F, et al: Corrective osteotomy in symptomatic midshaft clavicular malunion using elastic stable intramedullary nails, Arch Orthop Trauma Surg 130:681, 2010.) SEE TECHNIQUE 58.21.