Treatment / Fractures / Clavicle Fracture Repair

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FRACTURES | LAS VEGAS

Clavicle Fracture Repair

Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada

Understanding Clavicle Anatomy

The clavicle is the only bony connection between the shoulder girdle and the axial skeleton. It transmits forces from the arm to the trunk and maintains the proper width and position of the shoulder. Displaced midshaft clavicle fractures have historically been treated non-operatively, but surgical fixation is recommended for fractures with significant shortening, displacement, or comminution.


Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each fracture individually to determine the most appropriate fixation strategy based on fracture pattern, bone quality, and patient goals.

Fracture Types and Patterns

  • Midshaft Clavicle Fracture: The most common clavicle fracture, at the middle third of the bone. Significantly displaced or shortened fractures benefit from surgical fixation.
  • Lateral Clavicle Fracture: Fractures near the acromioclavicular joint may be associated with ligament disruption and frequently require fixation.
  • Medial Clavicle Fracture: Less common. Associated with significant trauma and may involve the sternoclavicular joint.

When Surgery Is Required

Surgical fixation is recommended for significantly displaced clavicle fractures with more than two centimeters of shortening, fractures with multiple fragments, open fractures, and fractures in patients with high functional demands. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas evaluates each patient’s imaging and functional requirements before recommending surgery.

Clavicle Fracture Repair

Dr. Andrew Lee fixes displaced clavicle fractures at Southern Hills Hospital in Las Vegas using anterior inferior plate fixation, which provides strong fixation while minimizing implant prominence. The fracture fragments are reduced to restore clavicle length and alignment, and a low-profile locking plate is applied. Early shoulder range of motion is encouraged following fixation.

The primary goals of this procedure are to:
  • Restore clavicle length and alignment
  • Allow early shoulder rehabilitation
  • Achieve solid bone healing
  • Reduce risk of malunion and shoulder dysfunction

Potential Risks

  • Infection: Fracture fixation carries infection risk. Preventive antibiotics are given and proper wound care is essential during recovery.
  • Nonunion: The fracture may fail to heal requiring additional surgical intervention.
  • Malunion: The fracture may heal in a non-anatomic position affecting function.
  • Hardware complications: Implant loosening or breakage may require revision.
  • Post-traumatic arthritis: Joint fractures can lead to accelerated arthritis despite optimal treatment.
  • Nerve or vascular injury: Risk varies by fracture location and surgical approach.

Postoperative Recovery

Recovery depends on fracture severity, fixation achieved, and patient factors. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas provides individualized rehabilitation guidance to optimize bone healing and functional recovery.

Weight bearing restrictions and activity timelines are determined at follow-up appointments based on fracture healing progress on imaging.

What to Expect After Surgery

Pain decreases progressively as healing occurs over six to twelve weeks. Functional recovery continues for three to six months following surgery. Dr. Lee monitors healing with imaging at regular follow-up visits.

Most patients return to independent daily activity within six to twelve weeks, with full recovery over three to six months depending on fracture complexity and patient factors.

Do not soak your wound.

No bathtub, swimming, or hot tub until cleared by Dr. Lee.

Wound Care and Medication Management

Follow all wound care instructions at discharge. Avoid soaking the incision in water until cleared by Dr. Lee. Pat the wound dry after showering and apply a clean bandage.

Monitor the incision for increasing redness, warmth, swelling, or drainage and contact Nevada Spine Clinic immediately if any of these occur. Prescription refills require forty-eight hours advance notice.

Activity Guidelines After Surgery

Follow the specific weight bearing restrictions provided by Dr. Lee. These are individualized to your fracture pattern and the fixation achieved at surgery. Do not bear weight beyond prescribed limits until cleared at follow-up.

Contact Nevada Spine Clinic or go to the nearest emergency room for fever, sudden increase in pain, inability to bear weight as previously tolerated, or wound concerns.

CALL US IF YOU EXPERIENCE

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No bathtub, swimming, or hot tub until cleared by Dr. Lee.

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Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas

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