Fracture Healing: Surgery Options and Recovery Insights - Orthopedics

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How to address fracture issues?


My boyfriend, who is 42 years old, had a car accident in September 2015, resulting in a fracture in his right shoulder and clavicle.
At that time, the doctor advised against surgery and recommended natural healing.
However, after five months, there have been no signs of healing, and the gap in the broken bone has increased to nearly 1 centimeter.
He is now considering surgery.
Will he be able to regain strength in his right arm after the surgery? Additionally, how much would the surgery approximately cost?

Xiao Ya, 30~39 year old female. Ask Date: 2016/02/13

Dr. Hong Ximing reply Orthopedics


If a clavicle fracture is non-displaced, surgery may not be necessary.
However, if it has not healed after five months, surgical intervention with bone grafting may be required to promote healing.

Reply Date: 2016/02/13

More Info


Understanding fracture healing is crucial for anyone who has experienced a significant injury, such as your boyfriend's shoulder and clavicle fracture. When a bone breaks, the body initiates a complex healing process that can vary greatly depending on several factors, including the type of fracture, the location, the patient's age, overall health, and the treatment approach taken.

In your boyfriend's case, it appears that he has a non-union fracture, which is when the bone fails to heal properly after a significant period. This can happen for various reasons, including inadequate blood supply to the area, excessive movement at the fracture site, or underlying health issues such as osteoporosis or diabetes. Given that five months have passed without signs of healing, surgical intervention may be necessary to promote proper healing.

Surgical options for a non-union fracture typically include internal fixation, where metal plates, screws, or rods are used to stabilize the bone fragments and allow them to heal. In some cases, bone grafting may also be performed, where bone tissue is taken from another part of the body or a donor to help stimulate healing at the fracture site. The choice of procedure will depend on the specific characteristics of the fracture and the surgeon's assessment.

Regarding recovery, many patients can regain significant strength and function in their arm and shoulder after surgery, especially if the procedure is performed in a timely manner. However, the extent of recovery can depend on factors such as the quality of the surgical repair, adherence to rehabilitation protocols, and the individual's overall health. Physical therapy is often a critical component of recovery, helping to restore range of motion, strength, and function.

As for the financial aspect, the cost of surgery can vary widely based on several factors, including the type of procedure, the surgeon's fees, hospital charges, and whether or not the patient has insurance coverage. In the United States, the cost of orthopedic surgery can range from several thousand to tens of thousands of dollars. It is advisable to consult with the healthcare provider and the insurance company to get a clearer estimate of the potential costs involved.

In summary, if your boyfriend is considering surgery, it is essential to have a thorough discussion with an orthopedic surgeon who can evaluate his specific situation and recommend the best course of action. Early intervention can significantly improve the chances of healing and restoring function, so it is crucial not to delay further. Additionally, a comprehensive rehabilitation program post-surgery will be vital for regaining strength and mobility in the affected arm.

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