Do You Need a Sling After Clavicle Surgery for Refracture? - Orthopedics

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Clavicle fracture


Hello, Doctor, I would like to ask if the clavicle fractures again after the removal of the plate and screws, and the attending physician assesses that surgery is needed to restore the bone to its original position, will it be necessary to use a sling again after the surgery to install the plate and screws?

Miss Tang, 20~29 year old female. Ask Date: 2016/04/02

Dr. Shi Guozheng reply Orthopedics


It is advisable to immobilize the area for a period of time to prevent re-fracture.

Reply Date: 2016/04/02

More Info


After clavicle surgery, particularly in cases of refracture following the removal of plates and screws, the use of a sling is often recommended to provide support and stability to the shoulder and clavicle area during the healing process. The primary goal of using a sling is to immobilize the arm and shoulder, which helps to reduce pain and prevent further injury while the bone heals.

When a clavicle is refractured, the surgical procedure typically involves realigning the bone fragments and securing them with hardware such as plates and screws. Following this surgery, the arm is usually placed in a sling for several reasons:
1. Immobilization: The sling helps to keep the arm close to the body, minimizing movement that could disrupt the healing process. This is particularly important after a refracture, as the bone may be more vulnerable during the initial healing phase.

2. Pain Management: Immobilizing the shoulder can help alleviate pain by reducing strain on the surrounding muscles and ligaments. This can be especially beneficial after surgery, as the area may be sensitive and inflamed.

3. Support: A sling provides additional support to the shoulder and clavicle, which can be crucial for maintaining proper alignment of the bone fragments during the healing process.

4. Encouraging Proper Posture: Using a sling can help encourage the patient to maintain a proper posture, which is essential for optimal healing and recovery.

Typically, the duration for which a sling is needed can vary based on the individual’s healing progress and the surgeon's recommendations. Generally, patients may need to wear the sling for several weeks, but this can be adjusted based on follow-up evaluations and imaging studies that assess the healing of the bone.

In addition to wearing a sling, physical therapy is often recommended after the initial healing phase to restore range of motion, strength, and function to the shoulder. The timing for starting physical therapy will depend on the surgeon's assessment of the healing process. It is crucial to follow the surgeon's guidelines regarding activity levels and rehabilitation exercises to ensure a successful recovery.

If you have concerns about the need for a sling or the rehabilitation process after your clavicle surgery, it is essential to discuss these with your orthopedic surgeon. They can provide personalized advice based on your specific situation, including the extent of the refracture, the surgical approach taken, and your overall health status.

In summary, after clavicle surgery for a refracture, wearing a sling is typically necessary to support healing, manage pain, and prevent further injury. Always consult with your healthcare provider for tailored recommendations and to ensure the best possible recovery outcomes.

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