Should I Consider Surgery for My Clavicle Fracture? Expert Advice Needed - Orthopedics

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When considering surgery for a clavicle fracture, especially one that has led to complications such as shoulder deformity or functional impairment, it's essential to evaluate several factors. Your situation, where you are experiencing a noticeable asymmetry in your shoulders and potential internal injuries, suggests that the initial conservative treatment may not have been sufficient for your specific case.

Clavicle fractures are common injuries, and treatment options can vary based on the fracture's type, location, and the patient's overall health. In many cases, non-surgical management, including the use of a sling and physical therapy, is effective, particularly for non-displaced fractures. However, if there is significant displacement or if the fracture is affecting your shoulder's function, surgical intervention may be warranted.


Factors to Consider for Surgery
1. Severity of the Fracture: If your clavicle fracture is displaced or has resulted in malunion (where the bone heals in an incorrect position), surgery may be necessary to realign the bones properly. This is especially true if you are experiencing functional limitations, such as the shoulder being 2-3 cm lower on one side.

2. Symptoms and Functional Impairment: The fact that you are experiencing shoulder asymmetry and related issues in your left shoulder and leg indicates that the fracture may have led to compensatory movements or postural changes. Surgery could help restore normal alignment and function.

3. Timing of Surgery: While surgery is often most effective shortly after the injury, it is still possible to perform surgery on a fracture that has healed improperly. However, the longer you wait, the more complex the surgery may become, as the surrounding tissues may adapt to the misalignment.

4. Type of Surgery: Surgical options typically involve the use of plates and screws to stabilize the clavicle. This can help ensure proper alignment and promote healing. The choice between a general hospital and a specialized orthopedic or plastic surgery center may depend on the complexity of your case and the expertise of the surgeons available.


Recommendations
- Consultation with an Orthopedic Surgeon: I recommend seeking a consultation with an orthopedic surgeon who specializes in shoulder injuries. They can assess your current condition through physical examination and imaging studies (like X-rays or CT scans) to determine the best course of action.

- Second Opinion: If you have doubts about the recommendations you've received, it might be beneficial to seek a second opinion from another orthopedic specialist. This can provide you with more clarity and confidence in your treatment plan.

- Rehabilitation: Regardless of whether you choose surgery, a structured rehabilitation program will be crucial for recovery. Physical therapy can help restore strength and mobility to your shoulder, regardless of the surgical outcome.


Finding a Specialist in Taipei
In Taipei, there are several reputable hospitals and clinics where you can seek treatment for your clavicle fracture. Some well-known institutions include:
- National Taiwan University Hospital: Known for its comprehensive orthopedic department.

- Taipei Medical University Hospital: Offers specialized orthopedic services.

- Shin Kong Wu Ho-Su Memorial Hospital: Has a good reputation for orthopedic care.

Make sure to check the credentials and experience of the orthopedic surgeons at these institutions, particularly those who specialize in shoulder injuries.
In conclusion, given your current symptoms and the impact on your quality of life, it would be prudent to explore surgical options. A thorough evaluation by a qualified orthopedic surgeon will help you make an informed decision about the best course of action for your clavicle fracture.