![]() Intramedullary fixation typically uses a smaller incision and causes fewer disturbances to the surrounding soft tissues. Intramedullary fixation, which involves inserting a long pin into the center of the boneīoth plate fixation and intramedullary fixation have advantages and disadvantages.Plate fixation, which entails attaching a plate with screws to the outside of the bone.Surgery for a fractured clavicle typically involves an open incision to move the bone fragments into proper position and then secure them in place. For now, surgery to repair a broken clavicle is often optional and not required, so the doctor and patient must consider the potential advantages and risks of surgery. Until more definitive research is available, this topic will remain controversial. See Diagnosis and Causes of a Clavicle Fracture The same study also observed better, more compete healing in surgical patients, but only a small improvement in long-term shoulder strength and range of motion when compared to nonsurgical patients. That looked at more than 400 patients concluded that surgery shortens healing time and therefore would allow athletes to return to play sooner. Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. Reviewing more than 600 patients noted that surgery can reduce the risk of a non-union (when the broken pieces of the clavicle bone fail to heal back together) but concluded that surgical and nonsurgical patients had similar shoulder strength and range of movement after healing.Ģ Mckee RC, Whelan DB, Schemitsch EH, Mckee MD. ![]() Plate Fixation Versus Nonoperative Treatment for Displaced Midshaft Clavicular Fractures: A Meta-Analysis of Randomized Controlled Trials. For example:ġ Woltz S, Krijnen P, Schipper IB. Some experts now question this notion, and there is no consensus on the treatment of most displaced clavicle shaft fractures. In the past, conventional wisdom was that a broken clavicle would nearly always heal properly without surgical intervention. ![]() Conventional wisdom and mixed opinions regarding clavicle surgery
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