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Arthroscopic Fixation of The Clavicle Shaft Fracture

March 01, 2017

Contributors: Yang-Soo Kim, MD; Ahmed Abdullah Alzeyadi, MD; Jinhong Kim; Hyo-Jin Lee, MD; Sung-Ryeoll Park, MD; Dong Hyuk Sun

This video describes an arthroscopic technique for the fixation of clavicle shaft fractures. A viewing portal is made 2 cm anterior to the fracture site and a working portal is made 2 cm distal to the fracture site. The guide wire for a 4.0 mm cannulated screw is inserted through the fracture site to the medial fracture fragment under arthroscopic guidance. Through the medial fragment, the guide wire is delivered through the skin anteriorly. The fracture is reduced and then the guide wire is drilled back across the fracture site to the lateral fracture fragment. After confirming the reduction under arthroscopy, the appropriately-sized cannulated screw is inserted after reaming. This arthroscopic technique would be useful for the precise reduction and minimal invasive fixation of clavicle shaft fractures. Preliminary results are encouraging and further studies with long-term follow up are needed to determine the precise indications and limitations of the procedure.

Results for "Shoulder and Elbow"

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