Clavicle Surgery: Will Overlapping Bones Heal Smoothly? - Orthopedics

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Clavicle surgery


Why is it that when the left clavicle is surgically repaired with overlapping bones, the bones will be smooth?

Wu, 30~39 year old female. Ask Date: 2017/10/26

Dr. Li Yongheng reply Orthopedics


Hello, since I cannot see the X-ray, I am unable to determine if there is any bone overlap.
I suggest you discuss this further with your attending physician or upload the X-ray for review.
Wishing you a speedy recovery.
Best wishes.

Reply Date: 2017/10/26

More Info


Clavicle surgery, particularly when it involves the use of overlapping bones, raises important questions about the healing process and the potential for a smooth recovery. The clavicle, or collarbone, is a critical bone that connects the arm to the body and plays a significant role in shoulder function. When a fracture occurs, especially in cases where the bone is displaced, surgical intervention may be necessary to realign the bones and ensure proper healing.

In your case, the overlapping of the bones during surgery is a common technique used to stabilize the fracture. This method is often employed when the fracture fragments cannot be perfectly aligned due to the nature of the injury. The overlapping technique allows for a more secure fixation, which can be beneficial in maintaining stability during the healing process. The body has a remarkable ability to heal, and when bones are properly stabilized, they can fuse together effectively, even if they are not perfectly aligned.

The healing process involves several stages. Initially, a blood clot forms at the fracture site, followed by the formation of a soft callus made of fibrous tissue. Over time, this soft callus is replaced by a hard callus as new bone is formed. Eventually, the bone remodels itself, which can take several months to years, depending on various factors such as age, overall health, and the extent of the injury.

Regarding your concern about whether the overlapping bones will heal smoothly, it is important to understand that while perfect alignment is ideal, it is not always necessary for successful healing. The body can adapt to some degree of misalignment. However, it is crucial to follow your surgeon's post-operative instructions, which may include physical therapy and gradual return to activity, to ensure the best possible outcome.

Post-surgery, you may experience some discomfort, swelling, and limited range of motion, which are normal parts of the healing process. Pain management, physical therapy, and gradual rehabilitation are essential components of recovery. Engaging in prescribed exercises can help restore strength and mobility to the shoulder and arm.

If you have concerns about the healing process or if you experience unusual symptoms such as increased pain, swelling, or changes in sensation, it is vital to communicate these with your healthcare provider. They may recommend imaging studies, such as X-rays, to assess the healing progress and ensure that the bones are fusing as expected.

In summary, while overlapping bones may not provide the ideal anatomical alignment, they can still heal effectively with proper stabilization and care. The body's natural healing processes, combined with appropriate medical management, can lead to a successful recovery. Always consult with your orthopedic surgeon for personalized advice and to address any specific concerns you may have regarding your recovery.

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