Figure 9

Surgical technique for ligamentous reconstruction of the sternoclavicular joint. The marking (X) in panel A denotes a protective malleable retractor to protect from accidental perforation of posterior mediastinal structures. Panel B demonstrates the placement of Fiberwire sutures through the sternal drill holes. The medullary cavity of the clavicular end is cleared with a curette (C) and the needle of the Fiberwire suture is passed in an intramedullary fashion through the clavicular drill holes (D).