Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process

Figure 3

Arthroscopic views and postoperative radiography. (a) Coracoid bone graft of the previous Latarjet procedure found in the correct position and healed. (b) Remnant of the base of the coracoid process carefully cleaned using a radiofrequency ablator. (c) Drill introduced in the anterior portal and centered on the under face of the remnant of the base of the coracoid process. (d) The FLOOP system (South American Implants) inserted through the tunnels using the wire. (e, f) The button flipped under the surface of the coracoid process. (g) Postoperative radiography confirms an accurate reduction in the fracture and position of the buttons. (h) Schematic view of surgical planning. (Image contributed by De Cicco FL, MD.)

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