title: A technique of distal clavicle fracture fixation using the tightrope procedure.
abstract: We present here a technique of fracture stabilization using the Tightrope procedure in a patient with a widely displaced Neer type IIB distal clavicle fracture. The Tightrope system, typically used for stabilization of acromioclavicular joint dislocation, has not been widely described for distal clavicle fractures. The patient achieved satisfactory results after surgery; we feel that this technique is appealing as it is simple, reproducible and avoids the complications associated with extensive metalwork. This technique may also appeal to the arthroscopic surgeon.
  
  
  
  Neer Type Ii Distal Clavicle Fracture, Tightrope Procedure, Arthroscopy.
authors.affiliation: Department of Orthopaedic Surgery, Hospital Melaka, Melaka, Malaysia.
authors.forename: Cj
authors.initials: C
authors.lastname: Soh
authors.affiliation: Department of Orthopaedic Surgery, Hospital Melaka, Melaka, Malaysia.
authors.forename: N
authors.initials: N
authors.lastname: Sivapathasundaram
authors.affiliation: Department of Orthopaedic Surgery, Hospital Melaka, Melaka, Malaysia.
authors.forename: Rensgsen
authors.initials: R
authors.lastname: Parthiban
authors.affiliation: Department of Orthopaedic Surgery, Hospital Melaka, Melaka, Malaysia.
authors.forename: A
authors.initials: A
authors.lastname: Ramanand