Operative Fixation of a Lateral Acromion Fracture in a Native Shoulder Using Nice Knot Suture Cerclage

Area of Science:

• Orthopedic Surgery
• Traumatology
• Skeletal Repair

Background:

• Acromion fractures are complex orthopedic injuries.
• Nondisplaced fractures often respond well to nonoperative management.
• Displaced fractures present fixation challenges due to displacement vectors and limited bone stock.

Purpose of the Study:

• To describe a novel surgical technique for open reduction and internal fixation of lateral acromion fractures.
• To address the management of rare acromion fractures in native shoulders.
• To provide an alternative fixation method for challenging acromion anatomy.

Main Methods:

• Open reduction and internal fixation of a lateral acromion fracture.
• Utilized Nice knot suture cerclage technique.
• Detailed description of the surgical approach for native shoulder acromion fractures.

Main Results:

• Successful internal fixation of a displaced lateral acromion fracture.
• Demonstrated feasibility of the Nice knot suture cerclage for acromion fixation.
• Addressed the challenges of limited bone stock and fixation in acromion fractures.

Conclusions:

• The described technique offers a viable surgical option for displaced acromion fractures in native shoulders.
• Suture cerclage provides an alternative fixation method where traditional plate and screw fixation is difficult.
• Further studies are warranted to evaluate the long-term outcomes of this technique.