![]() Historically, nonoperative treatment of midshaft clavicular fractures was considered the gold standard of care. The antero-posterior radiograph shows an acute multifragmentary midshaft fracture of the clavicle with slight displacement and preserved contact of the bone fragments. Pathological fractures caused by metastatic or metabolic disease are rarely seen. This group includes in particular young high-demanding male individuals, whereas low-energy fractures in elderly people predominantly result from falls. Sports injuries are responsible for nearly half of all clavicle fractures. These injuries often result from moderate to high-energy mechanisms such as sports injuries or road traffic accidents. In addition to the risks that occur with any major surgery, certain specific risks of clavicle fracture surgery include difficulty in bone healing, lung injury, and irritation caused by hardware.Clavicle fractures are among the most common skeletal injuries accounting for 2-5% of all adult fractures with an incidence of 29-64 cases per 100.000. You are at a greater risk of complications during and after clavicle fracture surgery if you have diabetes, are elderly and use tobacco products. Complications of Clavicle Fracture Surgery A second operation to remove the nail will be performed after 2-3 months. The nail is then passed on to reach the fracture site. A hole is then drilled in the anterior cortex and an elastic nail is inserted into the medullary canal of the clavicle. It involves a small 1 cm skin incision near the sternoclavicular joint. ![]() ![]() The procedure is performed under fluoroscopic guidance. It is considered as a safe method for fixation of displaced clavicle fractures in adolescents and athletes as it allows rapid healing and faster return to sports. This is a newer and less invasive procedure with fewer complications. Percutaneous Elastic Intramedullary Nailing of the Clavicle They often cause irritation in the skin at the site of insertion and must be removed once the fracture heals. The placement of pins may also be considered to hold the fracture in position. These plates and screws are usually left in the bone but can be removed after fracture healing is complete if they cause any irritation. Plates and Screws FixationÄuring this surgical procedure, your surgeon will reposition the broken bone ends into normal position and then uses special screws or metal plates to hold the bone fragments in place. Surgery is performed to align the bone ends and hold them stable during healing. Overlapping of the broken ends of the bone (shortened clavicle). ![]()
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