In non-displaced lateral end clavicle fractures, non-operative treatment (sling immobilization and range-of-motion exercises) with subsequent rehabilitation programs yields positive outcomes faster. However, the non-surgical treatment of unstable or displaced lateral end clavicle fractures leads to impaired shoulder function and an increased risk of re-injury. Hence, operative treatment is highly recommended in medically fit patients to prevent the risk of the worst healing consequences.
Various operative techniques are here for lateral end clavicle fracture treatment, the open reduction and internal fixation procedure is widely accepted to ensure optimal healing. Suture-based fixation is considered beneficial in treating patients with displaced lateral clavicle fractures. Several suture options such as suture anchors, suture buttons, and suture only are deemed useful.
The orthopedic surgeon wraps suture devices around the clavicle and coracoid. They ensure no wrapping around bone tunnels. In some cases, they create bone tunnels within the clavicle and coracoid. Recent studies have shown that suture-based fixation is more satisfactory than hook plate lateral locking plate and tension band wire fixation. The best part is that it ensures a minimal risk of complications and elective plate removals.
After the surgery, the patient should regularly go to follow-up appointments to prevent the risk of bone fragment instability. And yes, follow the doctor’s advice regarding dietary changes and lifestyle adjustments to yield positive outcomes.
