How to Treat Old Clavicle Fractures: Surgical Options and Recovery - Orthopedics

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When dealing with an old clavicle fracture that has been present for 13 years, it is important to assess the situation carefully. The fact that you are experiencing discomfort and can feel a prominent bone suggests that there may be complications related to the original fracture. This could include malunion (where the bone heals improperly), nonunion (where the bone fails to heal), or even the development of a condition known as pseudoarthrosis, where a false joint forms at the fracture site.


Surgical Options
1. Conservative Management: In some cases, if the discomfort is mild and does not significantly impact your daily activities, conservative management may be recommended. This could include physical therapy to strengthen the surrounding muscles and improve range of motion, as well as pain management strategies.

2. Surgical Intervention: If the discomfort is significant or if the bone prominence is causing functional limitations, surgical options may be necessary. The most common surgical procedures for old clavicle fractures include:
- Open Reduction and Internal Fixation (ORIF): This procedure involves surgically realigning the fractured bone and securing it with plates and screws. This can help restore the normal anatomy of the clavicle and alleviate discomfort.

- Bone Grafting: If there is a nonunion or malunion, a bone graft may be performed to promote healing. This involves taking bone from another part of your body or using synthetic materials to encourage new bone growth.

- Resection: In cases where there is a significant prominence of the bone causing discomfort, a surgeon may opt to remove a portion of the clavicle. This can help alleviate pain and improve the contour of the shoulder.


Recovery Process
Recovery from surgery typically involves several stages:
- Initial Recovery: After surgery, you may need to wear a sling for a few weeks to protect the shoulder and allow for initial healing. Pain management will be important during this time.

- Physical Therapy: Once the initial healing has occurred, physical therapy will be crucial to restore strength and mobility to the shoulder. This may include exercises to improve range of motion and strengthen the muscles around the shoulder joint.

- Long-term Care: Regular follow-up appointments with your orthopedic surgeon will be necessary to monitor healing and ensure that the bone is healing properly.

Considerations
- Age and Health: Your age and overall health will play a significant role in the recovery process. Older patients or those with underlying health conditions may experience slower healing times.

- Activity Level: It’s important to discuss your activity level and goals with your surgeon. If you are an active individual, the surgeon may tailor the treatment plan to help you return to your desired activities as soon as possible.


Conclusion
In summary, while the discomfort from an old clavicle fracture can be concerning, there are several treatment options available. It is essential to consult with an orthopedic specialist who can evaluate your specific situation through physical examination and imaging studies. They will be able to provide a tailored treatment plan that addresses your symptoms and helps you achieve the best possible outcome. Remember, the goal of treatment is not only to alleviate pain but also to restore function and improve your quality of life.