About Clavicle Open Reduction & Internal Fixation

In general, clavicle ORIF surgery is often an urgent type of surgery for trauma related injuries.

Signs & Symptoms

The surgery is usually performed to help reduce pain and restore mobility by helping the bone heal in the right position. An ORIF allows early rehabilitation.

A/Prof Matthew Lawson-Smith normally requires an x-ray or CT of your clavicle for diagnosis.

Treatment Options

What happens during the surgery?

The first part of the procedure is the open reduction. A/Prof Matthew Lawson-Smith will cut the skin and move the bone back into the correct position. The second part of the surgery is the fixation. A/Prof Matthew Lawson-Smith will insert metal plates and screws which will be applied to the collarbone. These plates and screws hold the bone together as it heals.

An x-ray is often used during the surgery to check on the alignment and positioning. The incisions made will then be closed with sutures and covered with a bandage.

You will then be placed into a sling after your surgery for comfort.

What should I expect after surgery?

You will be required to stay overnight at the hospital. This will be advised when booking your surgery.
On collection from the hospital, you will require someone to collect you and stay with you for up to 48 hours after your operation. It is imperative that you keep your wounds clean, dry and sterile.

A post-operative appointment is normally allocated to you by the rooms. This occurs 2-3 weeks after your procedure. On this day, you will be required to have an x-ray to check your progress.
If you require further analgesia for pain management than initially prescribed on discharge from hospital, you will need to visit your GP.

How long is the recovery period?

Generally, recovery takes 3 months.

Risks & Concerns

Risks and Side Effects from ORIF Surgery include:

Infection
Scar
Pain
Stiffness
Swelling
Complex Regional Pain Syndrome
Need for further surgery
Failure to relieve symptoms
Worsening pain
Bleeding

Neurovascular deficit or injury
Risk of anaesthetic
Recurrence
Metalwork failure or complications
Blood clot
Reduced or lost mobility
Arthritis
Tendon or ligament damage

If you experience any problems or have any concerns following your surgery, please do not hesitate to contact the office. A/Prof. Lawson-Smith’s staff with ensure that A/Prof Matthew Lawson-Smith is kept informed of what is occurring and will advise you the best course of action.

If you are unable to reach the office, please do not hesitate to contact your GP or if it is an emergency, please present to your nearest Emergency Department.