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Open reduction and tunneled suspensory fixation for lateral end of clavicle fractures: surgical technique

Unstable distal end clavicle fractures are associated with significant rates of nonunion and poor functional outcomes. Surgical treatment is paramount for unstable fracture patterns; however, treatment options are various, with each having its advantages and drawbacks. Recently, suture-based coracoc...

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Detalles Bibliográficos
Autores principales: Ahmed, Abdulaziz F., Salameh, Motasem, Kayali, Hammam, Hantouly, Ashraf, Darwiche, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426559/
https://www.ncbi.nlm.nih.gov/pubmed/37588858
http://dx.doi.org/10.1016/j.xrrt.2022.02.010
Descripción
Sumario:Unstable distal end clavicle fractures are associated with significant rates of nonunion and poor functional outcomes. Surgical treatment is paramount for unstable fracture patterns; however, treatment options are various, with each having its advantages and drawbacks. Recently, suture-based coracoclavicular fixation techniques using suture buttons have been implemented with high union rates, satisfactory shoulder function, and low rates of complications. In this report, we demonstrate a modified fixation of unstable lateral clavicle fractures. Our technique entails open reduction and suspensory coracoclavicular fixation using suture anchors and suture button devices with supplemental acromioclavicular suspensory fixation.