Table 2.
Pearls and Pitfalls
Pearls | Pitfalls |
---|---|
Use Langer's lines for a cosmetically better appearance after surgery | A fracture of the clavicle is possible during drilling of the intramedullary holes located 0.5 cm from the lateral edge of the clavicle |
Perform a subperiosteal soft tissue release on the clavicle to allow for an effective reapproximation and cover of the sutures | Damage to the ligament and tendon attachments of the coracoid process may occur during suture passage |
A coracoid suture passer assists with suture passage underneath the coracoid from medial to lateral | Neurovascular damage is possible without caution |
Pass the suture limbs, one over the other, through the clavicular tunnels |