20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

CLAVICLE FRACTURE FIXATION

The clavicle (collarbone) is located above the shoulder joint. It helps support the shoulder and also protects certain arteries and nerves in the upper chest area. Clavicle fractures are most common in contact athletes and cyclists. The clavicle can break in one of multiple locations, either closer to the center of the chest (sternum) or closer to the shoulder. The most common location for a fracture is right near the middle of the bone, a mid-shaft fracture. Those patients who require surgery usually have a mid-shaft fracture with either significant displacement (shortening) and/or comminution (a fracture with multiple pieces). Multiple studies have shown higher healing rates and better outcomes for these types of fracture patterns.

During surgery, Dr. Keller makes an incision above the clavicle bone and identifies the ends of the fractured bone. Dr. Keller then positions the fracture ends into the appropriate position and fixes the broken bone with a plate and screws. Dr. Keller will place the plate and screws either on the front end of the clavicle or on top of the clavicle, depending on the fracture pattern. In other patients with a clean break, Dr. Keller may use smaller incisions to place an intramedullary rod (long pin) in the middle of the clavicle to keep it in the right position during the healing phase.

Post-Operative Rehabilitation

Following surgery, patients are given a sling for comfort. Dr. Keller recommends intermittent icing and gentle range of motion following surgery. Dr. Keller also recommends starting physical therapy approximately two weeks after surgery. Physical therapy focuses on reducing swelling in the shoulder, restoring full range of motion, and maintaining strength in the shoulder. The fracture takes approximately 6-10 weeks to heal in most patients.