A clavicle fracture (or a broken collarbone) is a common injury that can significantly affect shoulder function and daily activities. In some cases, surgical treatment, also known as clavicle fracture fixation, may be necessary to ensure the bone heals correctly and restores full shoulder strength.
If you are experiencing shoulder pain or suspect a broken collarbone, our experienced team at Georgia Hand, Shoulder & Elbow in Atlanta and Marietta is here to help. Schedule an appointment today for expert evaluation and personalized treatment.
Clavicle fracture fixation, also known as clavicle fracture open reduction and internal fixation, is a particular surgery used to repair a broken bone in the clavicle, the long, thin bone located between the ribcage or shoulder blade and the breastbone. This bone plays a key role in shoulder movement and stability.
During this procedure, an orthopedic surgeon performs an open reduction, which means the bone pieces are surgically repositioned so they align properly. Once the bones are correctly aligned, internal fixation devices, such as metal plates and screws, are used to hold the bone fragments in place. This reduction and internal fixation technique helps ensure the fractured clavicle heals correctly and reduces the risk of healing abnormally.
While many clavicle fractures can be treated with conservative treatments like slings, surgery is often recommended when the clavicle breaks in a way that prevents proper alignment or when there is a higher risk of complications.
Not every broken collarbone requires surgery, but certain signs and conditions may indicate that clavicle fracture fixation is the best option. After a physical exam and imaging procedure such as X-rays, your orthopedic surgeon will evaluate the severity of the injury.
You may need surgery if you experience:
Certain factors may also increase the likelihood of needing surgical intervention, including low bone density, brittle bones, or low bone mass, which can affect bone healing. Additionally, if the injury resulted from a high-impact event or direct blow, it may be more complex.
In some cases, clavicle fracture fixation may be considered an emergency or urgent procedure, especially if there is a risk to surrounding tissues. However, many surgeries are performed as a planned procedure once swelling decreases and vital signs such as blood pressure are stabilized.
Clavicle fracture fixation is typically performed in a hospital or surgical center. Before the procedure begins, your care team will review your medical history, check your vital signs, and ensure you are ready for surgery. You may receive a breathing tube during anesthesia to support your breathing throughout the procedure.
The orthopedic surgeon begins by making a small incision over the clavicle. The bone pieces are then carefully repositioned during the open reduction phase. Once the bones are correctly aligned, internal fixation devices such as metal plates and screws are attached to stabilize the fracture.
This internal fixation allows the bone to remain secure while bone healing occurs. The incision is then closed, and the shoulder is supported to protect the repair.
The entire process is designed to restore the natural shape and function of the clavicle while minimizing the risk of complications. Most patients can resume a normal diet fairly quickly after surgery, depending on their overall condition.
As with any surgical procedure, clavicle fracture fixation carries some risks. However, complications are generally uncommon, and most patients experience successful outcomes.
Possible risks include:
Patients with low bone density or brittle bones may have a higher risk of complications. In rare complications, hardware may fail, or the bone may not heal as expected.
Your orthopedic surgeon will discuss all potential risks with you before surgery and take steps to minimize them. Following post-operative instructions closely is essential to reduce the likelihood of issues.
Recovery from clavicle fracture fixation varies depending on the severity of the injury and individual health factors. In the early stages, patients may experience discomfort, which can be managed with pain medicine or over-the-counter medicine as recommended by your doctor.
Most patients are encouraged to gradually return to normal activities as healing progresses. It’s important to avoid heavy lifting or strenuous shoulder movements until the bone has sufficiently healed.
Bone healing typically takes several weeks to a few months. Follow-up appointments and imaging procedures help ensure the bone heals correctly and that the internal fixation remains stable.
If you are dealing with shoulder pain or suspect a broken collarbone, don’t wait to seek expert care. Our skilled team at Georgia Hand, Shoulder & Elbow in Atlanta specializes in advanced treatments for shoulder injuries, including clavicle fracture fixation.
Schedule your appointment in Marietta or Atlanta, Georgia, today and take the first step toward restoring your comfort, strength, and mobility.
A clavicle fracture often occurs from a fall onto an outstretched arm, a direct blow to the shoulder, or trauma such as a sports injury or accident.
No, many cases can be treated with conservative treatments. Surgery is typically recommended for displaced fractures or when bone fragments are not properly aligned.
Bone healing usually takes several weeks to a few months, depending on the severity of the fracture and overall health.
In some cases, hardware may remain permanently. However, if there is discomfort or complications like broken screws, a repeat surgery may be considered.
Most patients gradually return to normal activities as healing progresses, but your orthopedic surgeon will provide a personalized timeline based on your recovery.
Hand & Orthopaedic Surgeon
Hand & Orthopaedic Surgeon
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Hand & Orthopaedic Surgeon
Hand & Orthopaedic Surgeon
Hand & Orthopaedic Surgeon
Hand & Orthopaedic Surgeon
Hand & Orthopaedic Surgeon
