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

Training Focus:

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

Detailed Content:

• Optimized Access and Hemostasis: Application of diluted epinephrine solution with saline for bleeding control and maintaining a clear surgical field.
• Precise Fragment Identification: Periosteal elevation methodology with an internal scalpel for clear exposure of fragments and the fracture apex.
• Secure Provisional Reduction: Temporary reduction technique with forceps and two wires for initial alignment.
• Fixation with Specific Locking Plate: Positioning of a "snake-head" type locking plate for the lateral third of the clavicle, with multiple holes, without joint invasion.
• Directed Coracoclavicular Stability: Use of a TightRope device for connection between the coracoid process and the clavicle, ensuring vertical stability and preventing subluxation.
• Layered Closure for Implant Coverage: Systematic approach to suturing the pectoralis to the trapezius, ensuring muscular coverage of the implant and preventing material prominence.
• Intradermal Suture for Aesthetic Result: Performance of skin suture for optimizing the aesthetic appearance in the clavicular region.
• Proven Clinical Outcomes: Case analysis with return to high-intensity activities without the need for implant removal.

Included Material:

• Detailed PDF: This document in PDF format concisely and technically addresses the condition of comminuted fractures of the lateral third of the clavicle with ligamentous instability, detailing surgical access, fragment exposure, provisional reduction, the steps of specific locking plate and TightRope fixation, and layered closure, culminating in the practical results of the procedure.

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