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. 2021 Jan 22;13(2):451–457. doi: 10.1111/os.12893

Fig. 1.

Fig. 1

Intraoperative photographs and drawing of anatomical distal clavicle plate fixation and augmented coracoclavicular ligament reconstruction to manage Neer type IIb distal clavicle fracture. (A) Intraoperative exploration shows the fractured lateral clavicle and the ruptured coracoclavicular ligament. (B) The fractured lateral clavicle was temporarily fixed with one K‐wire passed through acromion into the proximal fragment. (C) A suitable precontoured locking compressive distal clavicular plate was placed over the lateral clavicle bridging the fractured fragments. (D) The distal clavicle fracture was fixed with the combination of the anatomical distal clavicle plate and the cable system. (E) A drawing of surgical fixation of Neer type IIb distal clavicle fractures using anatomical locking plate fixation combined with titanium alloy cable for augmented reconstruction of coracoclavicular ligament.