PMC10158968_01
Complete transverse and displaced fracture of the middle third of the clavicle.
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f1
As a deviation, the presence of fracture without bone contact, with >= 2 cm, intermediate displaced fragment (Z-fragment), or tent skin were considered (Figure 1).
Measurement of plate size and percutaneous pathway access.
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f2
After demarcation of the length of the plate on the skin, two 1.5-cm accesses are made on the distal and proximal parts of the plate equidistant to the fracture trait (Figure 2).
Intraoperative image of the joystick technique to indirectly reduce the fracture.
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f3
For fracture reduction, two 2.0-mm Kirschner wires are inserted into the anterior surface of the clavicle by each of the access, medial and lateral, and the deviation was reduced by using the joystick technique (Figure 3).
Radiography in postoperative anteroposterior incidence showing fracture reduction and fixation by plate and screws.
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f4
A 3.5-mm blocking screw is inserted into each bone fragment in the previous location of the Kirschner wire (Figure 4).