Sternoclavicular Autograft Reconstruction in a Figure 8 Fashion in a 4 Month Old Anterior Dislocated Sternoclavicular Joint

Description

This video tutorial provides a detailed step-by-step guide on performing a sternal clavicle reconstruction using an autograft in a figure-eight configuration. It begins by introducing the procedure, which is applicable for cases of recurrent sternal clavicle subluxation or chronic dislocation at the medial end of the clavicle. The video outlines the essential preparations, including making a 6 to 8 cm incision over the clavicle, stripping the periosteum and capsule, and dissecting surrounding soft tissues to ensure mobility of the clavicle.



The instructions emphasize careful removal of the articular disc and mandibular clavicle joint, with a focus on sharp dissection techniques. After preparing the clavicle and manubrium, the video demonstrates drilling two holes in both the medial clavicle and the manubrium, setting the stage for the threading of the graft.



With the graft (palmaris longus or hamstring) and fiber wire prepared, the reconstruction is initiated by threading through the drilled holes, ultimately resulting in a figure-eight configuration that serves as an internal splint. The tutorial concludes by securing the graft and completing the reconstruction, offering insights into the technical aspects and precautions necessary for a successful outcome.

DOI: 10.1302/3114-221859

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