Distal Clavicle ORIF with Precontoured Plate and Coracoclavicular Augmentation using a Cortical Button

Darren Friedman, MD, (New York, NY) demonstrates his technique for distal clavicle fractures using a plate and coracoclavicular fixation. After fixing the plate medially with screws and prior to inserting the distal screws, he drills tunnels through the clavicle and coracoid under fluoroscopic guidance, eliminating the need to expose the coracoid. A cortical button loaded with FiberTape^® and FiberWire^® is inserted under fluoroscopic guidance, flipped and fixed to the plate. The distal screws are then inserted to complete the repair.