Clavicle Fracture Fixation

Through an incision over the collarbone, the fracture is realigned and secured, usually with a plate and screws. The procedure typically takes one to two hours and is generally performed as day surgery or with a short hospital stay.

Assessment includes examination and X-rays to characterise the fracture and confirm surgery is the appropriate treatment. Standard preoperative steps apply: fasting, review of medications, and arranging transport home.

A sling is worn in the initial weeks for comfort and support. Pain is managed with simple analgesia, and gentle movement is encouraged early to reduce stiffness, with more structured physiotherapy introduced as the fracture heals. Full recovery generally takes a few months.

Gentle pendulum and range-of-motion exercises typically begin within the first couple of weeks, progressing to more active movement and strengthening as X-rays confirm the fracture is healing well. Return to contact sport or heavy lifting is generally delayed until healing is well advanced.

Risks include infection, and, though uncommon, the fracture failing to heal (nonunion) or healing in a less than ideal position (malunion). The plate can sometimes be felt under the skin and occasionally needs removal later if it causes irritation, and there is a small risk of injury to nearby nerves or blood vessels given their proximity to the collarbone.

The goal is a well-aligned, stable collarbone and a return to normal shoulder use. Most patients achieve reliable healing and good shoulder function, particularly for fractures that are significantly displaced or shortened, where surgery generally offers a more predictable recovery than non-surgical treatment.

Clavicle fracture fixation stabilises a broken collarbone with plates or screws, aiming for reliable healing and a quicker return to full shoulder function than cast treatment alone in appropriate fractures. Most patients regain good shoulder strength and movement following a structured recovery.