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Intraoperative Reduction of the Scapular Body-A Technical Trick

Bartoníček, Jan MD, DSc; Frič, Vladimír MD; Tuček, Michal MD

Journal of Orthopaedic Trauma: April 2009 - Volume 23 - Issue 4 - p 294-298
doi: 10.1097/BOT.0b013e31819f1dad
Technical Trick

When internal fixation of the scapular neck and body fractures is performed, a problem may occur with reduction and retention of position of the lateral border of the scapula during surgery. For this purpose, the authors have developed their own technique of stabilization using a K-wire in a novel way. The technique is indicated in a 2-part shear unstable fracture of the lateral border. It cannot be used in fractures with an intercalated segment. A 2.5-mm drill bit is used to drill a 1.5-cm deep hole into the “medullary cavity” of each of the 2 fragments of the lateral border. A K-wire, 1.5 mm in diameter and 2.5-cm long, is inserted into the distal fragment. The protruding end of the K-wire is inserted into the hole in the proximal fragment. This intramedullary peg helps to maintain reduction and keeps both fragments stable. Subsequently, the lateral border is stabilized with a 3.5-mm reconstruction plate. This technique is quite simple and allows for a temporary stabilization of fragments without compromising the subsequent fixation by plate screws.

From the Orthopaedic Department of 3rd Faculty of Medicine, Charles University, Prague-Vinohrady, Czech Republic.

Accepted for publication February 2, 2009.

This article does not contain information about medical devices.

Reprints: Prof Jan Bartoníček, MD, DSc, Orthopaedic Department of 3rd Faculty of Medicine, Charles University, Šrobárova 50, 100 34 Prague 10, Czech Republic (e-mail: bartonicek.jan@ seznam.cz).

© 2009 Lippincott Williams & Wilkins, Inc.