- Fracture: Mid Shaft:
- Implants:
- 3.5 mm reconstruction plate;
- 3.5 mm DCP or LC-DCP;
- Fractures: Neer type II (lateral)
- Implants:
- small T plate:
- tension band figure of eight wire;
- Position: supine with ample padding beneath the shoulder;
- Incision:
- saber cut incision parallel to Langer's line gives adequate access;
- Other:
- need pointed reduction forceps;
- plate may be placed on anterior or superior aspect of clavicle;
- 7 to 8 hole reconstructive plate is chosen;
- drill is safer in this area, becuase over penetration is dangerous;
- if there is concern about PTX, immediately insert chest tube