Figure 1.

Illustration of the surgical technique using a miniature locking plate with a single button. (a) An 8-cm curved incision was made at the distal end of the clavicle, and rupture of the coracoclavicular ligament was confirmed. (b) The width of the coracoid process was determined by clamping both sides of the coracoid process with an avascular clamp. (c) A guide pin was inserted into the center of the cross point between the coracoid process and the clavicle. (d) The drill penetrated four layers of the cortex of the clavicle and the coracoid process along the guide needle. (e) A button was pushed through the drill holes and deployed under the inferior surface of the coracoid. (f) The button loop was tied around the miniature locking plate.