1. Computer aided designed neo-clavicle out of osteotomized free fibula: case report 
D.F. Kalbermatten, M. Haug, D.J. Schaefer, E. Wolfinger, R. Schumacher, P. Messmer, G. Pierer 
British Journal of Plastic Surgery 
Volume 57, Issue 7, Pages (October 2004)
DOI: /j.bjps

2. Figure 1
Computer scan with 3D reconstruction of the shoulder girdle demonstrates the absence of the right clavicula.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

3. Figure 2
The shoulder girdle represented as a triangulated computer calculation.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

4. Figure 3 Mirrored object calculated from the intact clavicle.
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5. Figure 4
Wax model of the mirrored clavicle and the osteotomised fibula.
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6. Figure 5
Double titanic osteotomy template with correct angulation and 3D osteotomy positions plates next to a gypsum template of the fibula.
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7. Figure 6
Neo-clavicle created from fibula after double osteotomy sites were calculated and titanic plate was laid on.
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8. Figure 7 Titanium-plated fibula representing the neo-clavicle.
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9. Figure 8
The patient presents with an anterior right-side shoulder grind/grid deformity: complete absence of the clavicle, scapula alata and cranial pectoral muscle degeneration, resulting in decreased elevation of the upper extremity.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

10. Figure 9
The patient presents with an anterior right-side shoulder grind/grid deformity: complete absence of the clavicle, scapula alata and cranial pectoral muscle degeneration, resulting in decreased elevation of the upper extremity.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

11. Figure 10
Postoperative computer scan with reconstruction of the shoulder girdle showing the neo-clavicle.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

12. Figure 11
The anatomic reconstruction of the shoulder grid shows an improved symmetry of the shoulder grid with a restored acromioclavicular position.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

13. Figure 12
The anatomic reconstruction of the shoulder grid shows an improved symmetry of the shoulder grid with a restored acromioclavicular position.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

14. Figure 13
Computer merge of the two DICOM datasets shows a clear benefit in positioning of the reconstruction.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )