Post-Surgery Complications: Managing Clavicle Fracture and Displacement - Orthopedics

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Post-operative lateral displacement of approximately one centimeter after clavicle fracture surgery?


Hello Dr.
Wang, I fractured my left clavicle in a car accident on May 3rd.
After surgery, the doctor said I didn't need to use a sling, just to avoid putting weight on it.
However, on July 15th, I broke it again along with the plate, and on July 24th, I had another surgery where I had to pay out of pocket for a new plate and now need to wear a sling continuously.
As of yesterday, August 31st, during my follow-up appointment, it was found that the outer side has shifted down by about 1 cm.
The doctor said to take another X-ray in two weeks to check the situation.
I have a few questions: 1.
Should I buy a figure-eight shoulder brace to provide additional support? 2.
Is there any way to prevent further displacement? 3.
Does my sleeping position affect the healing process?

Junhao, 30~39 year old female. Ask Date: 2015/09/01

Dr. Wang Shouji reply Orthopedics


Hello: If there is a failure of fixation and displacement of the clavicle plate, and if the distal plate is still engaged with the bone, we can observe for any further displacement and reinforce with a figure-eight strap.
However, if there is loosening, it is necessary to repeatedly tighten the fixation.
Do not sleep on the affected side.
Thank you!

Reply Date: 2015/09/01

More Info


After a clavicle fracture and subsequent surgery, it's essential to understand the potential complications and management strategies to ensure proper healing. Your situation, involving a second surgery due to the failure of the initial fixation, highlights the complexities associated with clavicle fractures. Here are some insights based on your questions and the general medical knowledge surrounding this topic.

1. Should You Buy a Figure-8 Brace?
A figure-8 brace can be beneficial in providing additional support and stabilization to the clavicle during the healing process. It helps to maintain proper alignment of the clavicle and can reduce the risk of displacement. However, before purchasing one, it's crucial to consult your orthopedic surgeon. They can assess your specific situation and determine whether a figure-8 brace is appropriate for you, considering your current healing status and the degree of displacement observed during your last visit.

2. Preventing Further Displacement:
To minimize the risk of further displacement, adherence to your surgeon's recommendations is paramount. This includes avoiding activities that involve heavy lifting or overhead movements, as these can place undue stress on the healing bone and hardware. Additionally, ensuring that you wear any prescribed braces or slings consistently will help maintain proper alignment. If your doctor has advised against certain movements or activities, it's essential to follow those guidelines strictly. Regular follow-up appointments are also crucial for monitoring the healing process and making any necessary adjustments to your treatment plan.

3. Impact of Sleeping Position on Recovery:
Your sleeping position can indeed influence your recovery. It's advisable to avoid positions that place pressure on the affected shoulder or that could lead to awkward angles that might stress the healing clavicle. Sleeping on your back or on the opposite side may be more comfortable and supportive during the recovery phase. Using pillows for support can help maintain a neutral position for your shoulder and prevent any inadvertent movements that could lead to further displacement.


Additional Considerations:
- Physical Therapy: Once your doctor deems it safe, engaging in physical therapy can be incredibly beneficial. A physical therapist can guide you through exercises that promote strength and flexibility while ensuring that you do not compromise the healing process.


- Nutrition and Healing: Adequate nutrition plays a vital role in bone healing. Ensure you are consuming enough calcium and vitamin D, as these nutrients are essential for bone health. A balanced diet rich in fruits, vegetables, lean proteins, and whole grains will support your overall recovery.

- Monitoring for Complications: Be vigilant for signs of complications, such as increased pain, swelling, or changes in the color of your arm. If you notice any concerning symptoms, contact your healthcare provider promptly.

- Long-term Outlook: Many individuals recover well from clavicle fractures, but the healing process can vary significantly from person to person. Factors such as age, overall health, and adherence to rehabilitation protocols can influence recovery time and outcomes.
In conclusion, managing a clavicle fracture post-surgery requires a comprehensive approach that includes proper support, adherence to medical advice, and attention to your body's signals. Regular communication with your healthcare team will be key to navigating your recovery successfully.

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