Exploring Treatment Options for Non-Healing Clavicle Fractures

I am Ms. Huang, who just inquired about a clavicle fracture?

Hello, Doctor: I asked about my clavicle fracture from a car accident yesterday, but since it has been six months and the doctor said the fracture is still 0.4 cm and has not healed, I would like to know if there are other treatment options available.
Thank you.

Huang Xiaoqi, 30~39 year old female. Ask Date: 2016/03/25

Dr. Shi Guozheng reply Orthopedics

If there is no displacement, continued observation may be sufficient, as it is likely to heal on its own without the need for any specific treatment methods.

Reply Date: 2016/03/25

More Info

When dealing with non-healing clavicle fractures, also known as non-union fractures, it is essential to explore various treatment options to promote healing and restore function. A clavicle fracture that has not healed after six months, as in your case, can be particularly challenging and may require a more aggressive approach.

Understanding Non-Union Fractures
A non-union fracture occurs when the broken ends of a bone do not heal together properly. This can happen for various reasons, including inadequate blood supply, infection, or improper alignment of the bone fragments. In the case of a clavicle fracture, factors such as the type of fracture (displaced vs. non-displaced), the patient's age, activity level, and overall health can significantly influence healing.

Treatment Options
1. Conservative Management: Initially, treatment for a clavicle fracture often involves conservative measures such as rest, immobilization with a sling, and physical therapy. However, since your fracture has not healed after six months, this approach may no longer be sufficient.

2. Surgical Intervention: If conservative management fails, surgical options may be necessary. Here are some common surgical treatments for non-healing clavicle fractures:
- Open Reduction and Internal Fixation (ORIF): This procedure involves surgically realigning the fractured bone and securing it with plates and screws. This method is often effective for displaced fractures and can help restore proper alignment, which is crucial for healing.

- Bone Grafting: In cases where there is a gap between the fractured ends, a bone graft may be used. This involves taking bone from another part of your body (autograft) or using synthetic bone material (allograft) to fill the gap and stimulate healing.

- Intramedullary Nailing: This technique involves inserting a rod into the medullary canal of the clavicle to stabilize the fracture. This method can be less invasive and may promote healing in certain cases.

- Plate Fixation with Bone Stimulators: In some cases, surgeons may use a plate to stabilize the fracture and apply electrical or ultrasound bone stimulators to enhance healing. These devices can promote bone growth by increasing blood flow and stimulating cellular activity.

3. Physical Therapy: Regardless of the surgical approach, physical therapy is crucial for recovery. A tailored rehabilitation program can help restore strength, flexibility, and function to the shoulder and arm.

4. Lifestyle Modifications: Factors such as smoking, poor nutrition, and certain medical conditions can impede healing. Addressing these factors through lifestyle modifications can improve the chances of successful healing.

Conclusion
In summary, since your clavicle fracture has not healed after six months, it is essential to consult with an orthopedic surgeon who specializes in fracture management. They can evaluate your specific situation and recommend the most appropriate treatment options, which may include surgical intervention. Remember, the goal is to achieve proper alignment and stability of the bone to facilitate healing and restore function. Engaging in open communication with your healthcare provider will help ensure that you receive the best possible care tailored to your needs.

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