Concerns About Loose Clavicle Plate: Recovery and Activity Guidelines

The clavicle fixation screw is not tightened?

Hello, Dr.
Shi.
I had a motorcycle accident at the end of May and fractured my right clavicle.
After evaluation, the doctor recommended surgery to implant a plate.
As of now, I can still move my arm, and aside from not being able to lift heavy objects, I am managing well in daily life.
The only issue is that during the surgery, the last screw of the plate was not properly secured, resulting in the end of the plate not being tightly fixed to the bone.
During my follow-up visit, the doctor mentioned that although the plate has shifted slightly, the bone healing is progressing well and is not affected.
My concerns are: Given this situation, I am worried that the unsecured end of the plate might become more elevated, potentially requiring another surgery in the future.
Additionally, does this mean I still cannot lift heavy objects, and must I wait until a year later when the plate is removed? How long does it typically take for the bone to heal? When would it be safe for me to ride a bicycle again? I would appreciate any advice you can provide.
Thank you! P.S.
A small suggestion: if this platform could allow for the attachment of images, it would help doctors make assessments and recommendations based on visual information.

Jackie, 40~49 year old female. Ask Date: 2015/08/09

Dr. Shi Guozheng reply Orthopedics

Clavicle fractures typically take three to six months to heal.
After surgery, if the plate has shifted but does not affect the fixation, it can be monitored further.
However, if the bone continues to elevate, intervention may be necessary.
It is still advised not to lift heavy objects for three months to see if healing occurs.
Only after healing can more strenuous activities, such as cycling or lifting heavy objects, be resumed.

Reply Date: 2015/08/09

More Info

Hello! Thank you for reaching out with your concerns regarding your clavicle injury and the recovery process. It sounds like you've been through quite a journey since your accident, and it's completely understandable to have worries about your recovery and the condition of the plate that was implanted.

First, let’s address your concern about the loose clavicle plate. It’s not uncommon for patients to experience some degree of movement or misalignment with the hardware used in orthopedic surgeries, especially if the screws or plates are not perfectly secured to the bone. However, as your doctor mentioned, if the bone healing is progressing well, the loose plate may not pose an immediate risk. The body often compensates for minor hardware issues as long as the bone itself is healing properly.
That said, it’s crucial to monitor the situation closely. If you notice any significant changes, such as increased pain, swelling, or any visible deformity in the area, you should contact your healthcare provider immediately. They may recommend imaging studies, such as an X-ray, to assess the position of the plate and the healing of the bone.

Regarding your activity level, it’s generally advised to avoid heavy lifting and strenuous activities until you receive clearance from your physician. This is particularly important in the early stages of recovery, as lifting heavy objects can place undue stress on the healing bone and the surrounding soft tissues. The timeline for when you can resume normal activities, including lifting weights or riding a bike, varies from person to person and depends on the extent of your injury and the healing process.
Typically, bone healing can take anywhere from 6 to 12 weeks, but complete recovery, including the time needed to regain strength and range of motion, can take longer. Your doctor will likely provide a more personalized timeline based on your specific case. It’s essential to follow their guidelines closely and attend all follow-up appointments to monitor your recovery.

As for the possibility of needing another surgery to remove the plate, this is often determined on a case-by-case basis. Many patients live comfortably with the plate in place, especially if it’s not causing any pain or functional issues. However, if the plate continues to shift or causes discomfort, your doctor may discuss the option of removal after the bone has fully healed.

In the meantime, focus on gentle rehabilitation exercises as recommended by your healthcare provider or physical therapist. These exercises can help improve your range of motion and strengthen the muscles around your shoulder, which is crucial for a successful recovery.

Lastly, your suggestion about including images for better assessment is a great idea! Visual aids can indeed help healthcare providers make more informed decisions about treatment and recovery.

In summary, while it’s natural to have concerns about your recovery, maintaining open communication with your healthcare provider and adhering to their recommendations will be key to a successful outcome. Take care, and I wish you a smooth recovery!

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