{"id":1498,"date":"2024-08-09T01:43:18","date_gmt":"2024-08-09T01:43:18","guid":{"rendered":"https:\/\/suzhouyoubest.com\/?p=1498"},"modified":"2024-08-09T01:46:17","modified_gmt":"2024-08-09T01:46:17","slug":"surgical-techniques-joystick-technique-minimally-invasive-reduction-and-fixation-of-clavicle-fractures","status":"publish","type":"post","link":"https:\/\/suzhouyoubest.com\/zh\/surgical-techniques-joystick-technique-minimally-invasive-reduction-and-fixation-of-clavicle-fractures\/","title":{"rendered":"Surgical Techniques | &#8220;Joystick Technique&#8221; Minimally Invasive Reduction and Fixation of Clavicle Fractures"},"content":{"rendered":"<p class=\"has-medium-font-size\"><strong>Clavicle #fractures <\/strong>are commonly caused by lateral #shoulder violence or violence transmitted from the upper limbs. Although most textbooks believe that clavicle fractures can be treated conservatively and malunion does not affect shoulder function, due to the poor patient experience of conservative clavicle treatment and long immobilization time, symptomatic clavicle shortening or malunion still exists. Surgical treatment with strong fixation and early functional exercise are recommended by clinicians.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1004\" height=\"437\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/a547d865526cd1aafef64e9d218a7e71.jpg\" alt=\"\" class=\"wp-image-1502\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/a547d865526cd1aafef64e9d218a7e71.jpg 1004w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/a547d865526cd1aafef64e9d218a7e71-300x131.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/a547d865526cd1aafef64e9d218a7e71-768x334.jpg 768w\" sizes=\"(max-width: 1004px) 100vw, 1004px\" \/><\/figure>\n\n\n\n<p class=\"has-medium-font-size\"><strong>MIPPO technology<\/strong> is more common in the internal fixation of long bone fractures. The incision of open reduction surgery for clavicle fracture is long. For this reason, some scholars have proposed the &#8220;Joystick technology&#8221; to assist reduction and minimally invasive internal fixation to treat clavicle fractures, and achieved good results.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1017\" height=\"221\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/b0c7850c204bef15272b6038aceefe51.jpg\" alt=\"\" class=\"wp-image-1503\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/b0c7850c204bef15272b6038aceefe51.jpg 1017w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/b0c7850c204bef15272b6038aceefe51-300x65.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/b0c7850c204bef15272b6038aceefe51-768x167.jpg 768w\" sizes=\"(max-width: 1017px) 100vw, 1017px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-white-color has-vivid-green-cyan-background-color has-text-color has-background has-link-color has-medium-font-size wp-elements-2eea75a266dcfee3b14da8f900aa4b2b\">Surgical procedures<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Step 1: <\/strong>The patient&#8217;s position and the C-arm machine are the same as those for conventional open reduction, beach chair position, and the upper limbs need to be disinfected and bandaged to facilitate intraoperative operations.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"970\" height=\"693\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/1891eced9162d2c4b5a75e99b1fd627a.jpg\" alt=\"\" class=\"wp-image-1504\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/1891eced9162d2c4b5a75e99b1fd627a.jpg 970w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/1891eced9162d2c4b5a75e99b1fd627a-300x214.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/1891eced9162d2c4b5a75e99b1fd627a-768x549.jpg 768w\" sizes=\"(max-width: 970px) 100vw, 970px\" \/><\/figure>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Step 2:<\/strong> Minimally invasive percutaneous surgery with assisted reduction.<\/p>\n\n\n\n<p>Through the proximal and distal clavicle fracture #fragments, insert from the anterior and inferior part of the clavicle to avoid damaging blood vessels and nerves and affecting the placement of the steel plate.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"875\" height=\"316\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/752313a9237aafad406d7dff4b26ab7f.jpg\" alt=\"\" class=\"wp-image-1505\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/752313a9237aafad406d7dff4b26ab7f.jpg 875w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/752313a9237aafad406d7dff4b26ab7f-300x108.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/752313a9237aafad406d7dff4b26ab7f-768x277.jpg 768w\" sizes=\"(max-width: 875px) 100vw, 875px\" \/><\/figure>\n\n\n\n<p>Using the Steinmann wire as a rocker, manual reduction was performed. Under fluoroscopic monitoring, after satisfactory reduction, the two Steinmann wires were fixed with connecting rods and connectors to form a small external fixator.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"898\" height=\"309\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0c70e0017664ff32cd4d1ced13be7b38.jpg\" alt=\"\" class=\"wp-image-1506\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0c70e0017664ff32cd4d1ced13be7b38.jpg 898w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0c70e0017664ff32cd4d1ced13be7b38-300x103.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0c70e0017664ff32cd4d1ced13be7b38-768x264.jpg 768w\" sizes=\"(max-width: 898px) 100vw, 898px\" \/><\/figure>\n\n\n\n<p>Minimally invasive incisions were made at the distal and proximal ends of the fracture, and plates and screws were inserted. After fixation, the Steinmann wires were removed.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"959\" height=\"358\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/c64f9711c47bf50a14ea103179a8a654.jpg\" alt=\"\" class=\"wp-image-1507\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/c64f9711c47bf50a14ea103179a8a654.jpg 959w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/c64f9711c47bf50a14ea103179a8a654-300x112.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/c64f9711c47bf50a14ea103179a8a654-768x287.jpg 768w\" sizes=\"(max-width: 959px) 100vw, 959px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1002\" height=\"359\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/fc9874c8e92d0af37a45cbfb3a4dc78b.jpg\" alt=\"\" class=\"wp-image-1508\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/fc9874c8e92d0af37a45cbfb3a4dc78b.jpg 1002w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/fc9874c8e92d0af37a45cbfb3a4dc78b-300x107.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/fc9874c8e92d0af37a45cbfb3a4dc78b-768x275.jpg 768w\" sizes=\"(max-width: 1002px) 100vw, 1002px\" \/><\/figure>\n\n\n\n<p>Typical case diagram is as follows:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"446\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/42f088e00eea466972b96ea64efb98b8-1024x446.jpg\" alt=\"\" class=\"wp-image-1509\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/42f088e00eea466972b96ea64efb98b8-1024x446.jpg 1024w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/42f088e00eea466972b96ea64efb98b8-300x131.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/42f088e00eea466972b96ea64efb98b8-768x334.jpg 768w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/42f088e00eea466972b96ea64efb98b8.jpg 1310w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"414\" src=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0970a29b679e6d1d5949ac0105edfb40-1024x414.jpg\" alt=\"\" class=\"wp-image-1510\" srcset=\"https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0970a29b679e6d1d5949ac0105edfb40-1024x414.jpg 1024w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0970a29b679e6d1d5949ac0105edfb40-300x121.jpg 300w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0970a29b679e6d1d5949ac0105edfb40-768x310.jpg 768w, https:\/\/suzhouyoubest.com\/wp-content\/uploads\/2024\/08\/0970a29b679e6d1d5949ac0105edfb40.jpg 1311w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Minimally invasive reduction and fixation of #clavicle fractures are common in clinical practice, especially for young women. Before minimally invasive plate placement, auxiliary reduction and maintenance of reduction mainly rely on clamping of both ends of the fracture or percutaneous Kirschner wire fixation of the fracture ends. The method described in this article requires Steinmann wire fixation to form a small external fixator, which may be difficult in the domestic clinical environment. The method described in this article is for reference by clinicians.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"has-cyan-bluish-gray-color has-text-color has-link-color has-small-font-size wp-elements-53fe3f7085f5434e5e2e36247d1b4325\">[Statement]: The concepts, technologies, and principles shared on this platform are all publicly available journals, published books, or online platform materials. The copyright belongs to the original author. The platform only organizes, summarizes, and shares them for learning reference. This platform is not responsible for the authenticity of the content and the effectiveness of the technology. The related medical behaviors generated based on the content pushed by this platform have nothing to do with the platform. Please choose carefully. If there is any infringement, please contact us to delete it.<\/p>\n\n\n\n<p class=\"has-text-align-center has-vivid-red-color has-text-color has-link-color wp-elements-5f962dfa78c2e7c659a786e72410e23a\">Welcome to share, forward and like the article in the lower right corner!<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>","protected":false},"excerpt":{"rendered":"<p>Title: Surgical Techniques: Joystick Technique for Minimally Invasive Clavicle Fracture Fixation<\/p>\n<p>Discover the innovative Joystick Technique for minimally invasive reduction and fixation of clavicle fractures. This cutting-edge approach offers precision, reduced recovery times, and optimal outcomes for patients. Learn how this technique can enhance your orthopedic practice and improve patient care.<\/p>","protected":false},"author":1,"featured_media":1501,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"none","_seopress_titles_title":"Surgical Techniques Minimally Invasive Reduction and Fixation of Clavicle Fractures","_seopress_titles_desc":"Clavicle #fractures are commonly caused by lateral #shoulder violence or violence transmitted from the upper limbs. Although most textbooks believe that clavicle fractures can be treated conservatively and malunion does not affect shoulder function, due to the poor patient experience of conservative clavicle treatment and long immobilization time, symptomatic clavicle shortening or malunion still exists. Surgical treatment with strong fixation and early functional exercise are recommended by clinicians.","_seopress_robots_index":"","footnotes":""},"categories":[1],"tags":[19,20,27,17,26,16,25],"class_list":["post-1498","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-surgery","tag-clavicle","tag-fixation-of-clavicle-fractures","tag-fractures","tag-minimally-invasive-reduction","tag-orthopedic","tag-surgical-procedures"],"acf":[],"meta_box":[],"_links":{"self":[{"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/posts\/1498"}],"collection":[{"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/comments?post=1498"}],"version-history":[{"count":2,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/posts\/1498\/revisions"}],"predecessor-version":[{"id":1513,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/posts\/1498\/revisions\/1513"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/media\/1501"}],"wp:attachment":[{"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/media?parent=1498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/categories?post=1498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/suzhouyoubest.com\/zh\/wp-json\/wp\/v2\/tags?post=1498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}