How I Pin a Clavicle (Warning - Graphic Scenes)

How I pin a clavicle

the_two_ends_of_the_bones1.jpg    fracture_reduced_and_compressed1.jpg

Firstly the fracture is identified and a test reduction carried out.

 

medial_end_prepared_with_drill1.jpg    then_tapped_to_accept_pin1.jpg

Then the medial piece is drilled and then tapped to accept the screw-thread of the pin.

 

pin_drilled_through_lateral_clavicle1.jpg   and_out_through_the_back_of_the_shoulder1.jpg 

The pin is drilled out sideways through the clavicle and out through the skin at the back.

 

pin_drilled_back_across_the_fracture1.jpg   and_drilled_back_across1.jpg

Then it is driled back and across the reduced fracture....

 

fracture_kebabbed_by_the_pin1.jpg   fracture_reduced_and_compressed1.jpg

so that the pieces are 'kebbabed' and finally compressed to help the break to heal.