Distal Clavicle Fracture Neers Type II B: Fixation Using a Novel Technique

Mohan Kumar, J.^*, Vijay, M. & Mahesh, M. N.

Department of Orthopaedics, Sathya Sai Orthopaedic Hospital Bengaluru, India

Mohan Kumar, J., Department of Orthopaedics, Sathya Sai Orthopaedic Hospital, Bhattarahalli, Near RTO, KR Puram, Bengaluru - 560049, India.

Keywords: Conoid Ligament; Coracoclavicular; Clavicle; Radiograph; Subacromial

Abstract

Management of fracture distal end clavicle is a controversial topic for orthopaedic surgeons. With a relatively active lifestyle, now a days patients want better results both cosmetically and functionally. There is no consensus regarding the gold standard treatment for this fracture, despite so much literature available for the management of this common fracture. We present here a technique of fracture stabilization using the metal button in a patient with a widely displaced Neer type IIB distal clavicle fracture. We have fixed the fracture by indirect technique, by using a metal button over the clavicle and Ethibond No 5 around the coracoid. The patient achieved satisfactory results after surgery; this technique is simple, reproducible and avoids the complications associated with implants and also cost effective.

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