Multifragmentary Fracture of the Lateral Third of the Clavicle with Coracoclavicular Fixation

Master the treatment of multifragmentary fractures of the lateral third of the clavicle with ligamentous instability. This training offers a technical immersion in osteosynthesis with a locked plate and coracoclavicular fixation, emphasizing a precise surgical approach for favorable functional and aesthetic outcomes.

Training Focus:

• Osteosynthesis of multifragmentary fractures of the lateral third of the clavicle.
• Bone reconstruction and fixation to the coracoid process.
• Vertical stabilization with TightRope device.
• Management of formal access and hemostasis.

Detailed Content:

• Optimized Access and Hemostasis: Application of diluted adrenaline solution with saline for bleeding control and maintenance of a clean surgical field.
• Precise Identification of Fragments: Methodology for periosteum elevation with internal scalpel for clear exposure of fragments and fracture vertex.
• Safe Temporary Reduction: Temporary reduction technique with clamp and two wires for initial alignment.
• Specific Locked Plate Fixation: Positioning of "cobra head" type locked plate for the lateral third of the clavicle, with multiple holes, without joint invasion.
• Directed Coracoclavicular Stability: Use of TightRope device for connection between coracoid process and clavicle, ensuring vertical stability and preventing subluxation.
• Layered Closure for Implant Coverage: Systematic approach of suturing from pectoral to trapezius, ensuring muscular coverage of the implant and preventing material prominence.
• Intradermal Suture for Aesthetic Result: Performing sutures on the skin to optimize the aesthetic appearance in the clavicular region.
• Proven Clinical Results: Case analysis with return to high-intensity activities without the need for implant removal.

Included Material:

• Detailed PDF: This PDF document concisely and technically addresses the condition of multifragmentary fracture of the lateral third of the clavicle with ligament instability, detailing the surgical access, exposure of fragments, provisional reduction, the steps of fixation with specific locked plate and TightRope, and the closure by layers, culminating in the practical results of the procedure.

Enhance your skills in trauma surgery.Sign up now and master the techniques for treating multifragmentary fractures of the lateral third of the clavicle with coracoclavicular fixation.