Fixation of comminuted midshaft clavicle fractures with bone fragments separated by soft tissue using a novel double ligature technique

RATIONALE Clavicle fractures are common, and mostly occur in the midshaft. Methods for operative treatment of midshaft clavicle fractures are evolving, as they improve clinical outcomes compared with traditional conservative management. However, fixation of comminuted midshaft clavicle fractures with bone fragments separated by soft tissue remains a challenge. PATIENT CONCERNS Here, we present a case of comminuted midshaft clavicle fracture with a bone fragment separated from the main fracture by soft tissue. DIAGNOSIS Left comminuted midshaft clavicle fracture. INTERVENTIONS We treated this patient with a novel double ligature technique using absorbable suturing. OUTCOMES In the past 7 years, we have treated >50 patients with this technique. We have achieved good clinical outcomes with no complications. LESSONS We recommend widespread use of our novel double ligature technique for treating comminuted midshaft clavicle fractures with bone fragments separated by soft tissue.