Open Reduction and Internal Fixation of Acromion Fractures Using a Precontoured Distal Clavicle Plate

Abstract

Acromion fractures are uncommon and the indications for surgery are not well established. A variety of fixation methods have been described for the operative treatment of acromion fractures. The optimal method of fixation has not been determined. Successful results have been described with multiple techniques. We present a technique for open reduction and internal fixation of acromion fractures utilizing a precontoured plate designed for the treatment of distal clavicle fractures. We have found this to be a reproducible technique in a small series of patients, which has led to very satisfactory clinical results.

Prebending of osteosynthesis plate using 3D printed models to treat symptomatic os acromiale and acromial fracture

“…Acromion fractures of the scapula are rare: just 1% of all fractures are scapular fractures and of these only 8%–10% involve the acromion (Anavian et al, 2009 ; Tucek, 2017 ). These fractures usually occur as sequelae of high-energy injuries concomitantly with fractures of the ipsilateral glenoid, neck and body of the scapula (Almzayyen et al, 2013 ). Classification of these fractures using current systems is very difficult.…”

“…Several manufacturers market pre-contoured superior locked plates for distal complex clavicular fractures (Andersen et al, 2011 ). The plate we used, from DePuy Synthes (4528 Zuchwil, Switzerland), is well-documented to be a reliable fixation device for complex distal clavicular fractures with or without extra fixation to the coracoid process (Almzayyen et al, 2013 ; Vaishya et al, 2017 ). In our method, the osteosynthesis plate is pre-bent using a three-dimensional (3D) model of the patient’s acromion as a template.…”