Master the treatment of complex shoulder injuries. This training offers a technical immersion in the surgical management of midshaft clavicle fractures and posterior acromioclavicular dislocations. We present a simultaneous approach using a minimally invasive bridging technique, aiming for anatomical restoration and shoulder stability.

Training Focus:

• Surgical treatment of midshaft clavicle fractures.
• Approach to posterior acromioclavicular dislocation.
• Minimally invasive bridging technique.
• Vertical and horizontal stabilization of the acromioclavicular joint.

Detailed Content:

• Operative Field Preparation: Mastery in infiltrating hemostatic solution for bleeding control.
• Access and Tunnel Creation: Creation of medial and lateral portals in the clavicle for a bridging approach. Use of an osteotome for dissection and subperiosteal tunnel creation.
• Clavicle Fracture Reduction and Fixation: Methodology for maintaining reduction with digital manipulation. Systematic sequence of screw insertion for primary stability, with verification of segmental alignment.
• Coracoid Process Approach: Access and positioning of retractors for optimized exposure.
• Vertical Stabilization with Fast-Fit: Technique for introducing a tissue anchor at the base of the coracoid for effective alignment with the clavicle. Precise positioning of the hole in the clavicle to prevent anterior displacement during tightening. Creation of separate holes in the coracoid and clavicle.
• Horizontal Stabilization and Ligament Reconstruction: Employment of a 5.0mm anchor for fixation and reconstruction of the acromioclavicular ligaments. Complementary horizontal stabilization by linking the distal clavicle fragment to the acromion.

Included Material:

• Detailed PDF: This didactic material in PDF format offers a practical and objective summary of the entire surgical procedure. It addresses the injury condition, surgical approaches, field preparation, the steps for clavicle fracture and acromioclavicular dislocation fixation, including the use of Fast-Fit devices and anchors for stabilization, and the expected results, serving as a quick and effective reference guide for technical steps.

Enhance your skills in trauma surgery. Enroll now and master the techniques for simultaneous management of clavicle fractures and posterior acromioclavicular dislocations.