Summary The Acumed Scapula Plating System offers indication-specific titanium plates that can address challenging fractures of the scapula, including the glenoid, medial and lateral border, acromion, and scapular spine The precontoured plates minimize the need for bending while acting as a template for optimal implant placement and guiding screw fixation to osseous regions. Related Implants Acromion Plate Provides fixation for fractures along the acromion of the scapula spine Designed to closely match the patient's natural acromion curvatures, which may help in the reconstruction of even severely displaced acromion fractures An integral piece of the Scapula Plating System, and may be used individually or together with the Acumed Medial Border Plate, Lateral Border Plate, and Glenoid Plate Placement Once the plate’s ideal positioning has been selected, it is provisionally stabilized to the acromion and/or scapula spine with one of the three instruments provided: Plate clamps Plate tacks Reduction forceps with serrated jaw Fit Designed in conjunction with William B. Geissler M.D. For traditional fractures where the fracture line is at the base of the acromion to the spine, the 6-hole plate is utilized In instances where the fracture extends distally into the acromion, the longer 7-hole plate may be a better option The plate is placed on the superior surface to stabilize the fractures of the acromion and/or scapula spine In the case of a non-union or malunion the curve of the plate can assist in the anatomic reduction of the acromion Indications Acromion Fractures Os Acromiale Approaches A horizontal incision is made directly over the palpable spine and then curved anteriorly over the acromion Dissection is sharply carried down to the fascia where the skin flaps are elevated. The origin of the trapezium and deltoid may then be subperiosteally dissected to expose the fracture of the base of the spine and/or acromion Nonlocking Screw Insertion The nonlocking screws may be placed unicortically or bicortically If bicortical screws are used, it is important to not over-penetrate the distal cortex and potentially risk injury to the rotator cuff Locking Screw Insertion Using the locking drill guide (MS-LDG35) and the 2.8 mm drill (MS-DC28), place the 3.5 mm locking screws (COL-3XX0) into the threaded holes so that there are at least three screws total (if possible) on each side of the fracture