How long does it take for a fractured collarbone to heal. What are the treatment options for a clavicle fracture. When is surgery necessary for a broken collarbone. What are the risks associated with clavicle fracture surgery.

Understanding Clavicle Fractures: Types and Causes

Clavicle fractures, commonly known as broken collarbones, are among the most frequent upper limb injuries. The clavicle plays a crucial role in connecting the upper limb to the body’s trunk. These fractures are typically categorized into three groups based on their location:

• Lateral fractures: Occurring at the outer end of the collarbone
• Mid-shaft fractures: The most common type
• Medial fractures: Rare fractures near the breastbone or sternum

The majority of clavicle fractures result from falls onto an outstretched hand. Lateral fractures may occur due to direct impact on the side of the shoulder. Common causes include:

• Cycling or motorcycle accidents
• Contact sports injuries (e.g., rugby)
• Skiing mishaps
• Equestrian falls

These fractures can affect individuals of all age groups, making them a significant concern across demographics.

Diagnosis and Imaging for Clavicle Fractures

Accurate diagnosis is crucial for effective treatment of clavicle fractures. How are these fractures typically diagnosed?

In most cases, simple X-rays suffice to identify and assess clavicle fractures. These imaging studies provide clear visuals of the bone structure, allowing medical professionals to determine the fracture’s location and severity.

However, in certain situations, more advanced imaging techniques may be necessary:

• CT scans: Used for complex fractures or when planning surgical interventions
• Additional imaging: May be required to evaluate fracture healing progress

These detailed scans offer a comprehensive view of the fracture, enabling healthcare providers to make informed decisions about treatment options and surgical approaches if needed.

Conservative Treatment Approaches for Clavicle Fractures

The majority of clavicle fractures can be successfully treated without surgical intervention. What does conservative treatment typically involve?

Non-surgical management usually includes:

1. Immobilization: Using a sling for up to 6 weeks to stabilize the fractured area
2. Exercise regimen: Patients are encouraged to perform exercises for the shoulder, elbow, wrist, and hand while in the sling
3. Pain management: Over-the-counter or prescribed medications to alleviate discomfort
4. Regular monitoring: Periodic check-ups to assess healing progress

This approach is particularly effective for minimally displaced fractures and those with a high likelihood of proper healing. Conservative treatment allows the body’s natural healing processes to mend the fracture while minimizing risks associated with surgical interventions.

Surgical Interventions for Clavicle Fractures

While many clavicle fractures heal without surgery, some cases require surgical intervention. When is surgery typically recommended for a clavicle fracture?

Surgical treatment is often considered in the following scenarios:

• Significantly displaced fractures
• Comminuted fractures (multiple bone fragments)
• Open fractures (where bone has pierced the skin)
• Fractures with a high risk of non-union or malunion
• Cases where proper alignment is crucial for optimal function

The most common surgical approach for clavicle fractures is plating. This procedure involves:

1. General anesthesia and nerve block administration
2. Incision over the clavicle
3. Reduction of fracture fragments
4. Application of a plate to stabilize the bone
5. Wound closure and sling application

Post-surgery, patients typically return home the same day, with follow-up appointments scheduled to monitor healing progress through X-rays at 2 weeks, 6 weeks, and 3 months.

Recovery Time and Healing Process for Clavicle Fractures

A common concern for patients with clavicle fractures is the expected healing time. How long does it typically take for a fractured collarbone to heal?

The healing process for clavicle fractures can vary, but generally follows this timeline:

• Most fractures heal within 6 weeks
• Some cases may take 3 to 6 months for complete healing
• Fractures that do not heal within 6 months are considered non-unions

It’s important to note that mid-shaft fractures of the clavicle have an 85% chance of healing without surgical intervention. However, several factors can influence the healing process, including:

• Age and overall health of the patient
• Severity and location of the fracture
• Adherence to treatment protocols
• Nutritional status
• Smoking habits (which can significantly impair bone healing)

Contrary to common belief, surgery does not accelerate the biological healing process. Instead, it aims to ensure proper alignment of the bone fragments, reducing the risk of non-union or malunion.

Post-Treatment Care and Rehabilitation

Proper post-treatment care and rehabilitation are crucial for optimal recovery from a clavicle fracture. What does the rehabilitation process typically involve?

For both surgical and non-surgical treatments, the recovery process generally includes:

1. Initial immobilization: Use of a sling for 6 weeks to protect the healing bone
2. Gradual mobilization: Controlled exercises to maintain joint flexibility and prevent stiffness
3. Progressive strengthening: Exercises to rebuild muscle strength around the shoulder girdle
4. Range of motion exercises: To regain full shoulder mobility
5. Activity modification: Limiting certain movements to protect the healing fracture

In cases of surgical treatment, additional considerations may include:

• Wound care and monitoring for signs of infection
• Restricted arm movement to shoulder height for an additional 6 weeks post-sling removal
• Gradual return to full activities, including contact sports, once the fracture is fully healed

It’s worth noting that in most cases, clavicle plates are left in place permanently. However, in high-risk cases or situations where hardware becomes prominent, a second operation may be needed to remove the plate and screws after complete healing (usually 6 to 9 months post-surgery).

Potential Risks and Complications of Clavicle Fracture Surgery

While surgical intervention can be beneficial in certain cases of clavicle fractures, it’s important to be aware of potential risks. What are the main risks associated with clavicle fracture surgery?

The risks of clavicle fracture surgery include:

• Anesthesia-related complications
• Bleeding and hematoma formation
• Infection (occurring in less than 1% of cases)
• Nerve or blood vessel damage (extremely rare)
• Numbness around the surgical scar due to skin nerve disruption
• Malunion or non-union of the fracture
• Hardware-related issues (failure, infection, or prominence requiring removal)
• Shoulder stiffness (rare)

It’s crucial for patients to discuss these potential risks with their surgeon and weigh them against the benefits of surgical intervention. In many cases, the advantages of surgery in terms of fracture alignment and long-term functional outcomes outweigh the potential risks.

Minimizing Surgical Risks

To reduce the likelihood of complications, surgeons and medical teams take several precautions:

1. Thorough pre-operative assessment to identify risk factors
2. Use of sterile techniques to minimize infection risk
3. Careful surgical planning and execution
4. Post-operative monitoring and follow-up care
5. Patient education on wound care and activity restrictions

By adhering to best practices and maintaining open communication between the medical team and the patient, the risk of complications can be significantly reduced.

Long-Term Outcomes and Return to Activities

Patients often wonder about the long-term prognosis following a clavicle fracture. What can individuals expect in terms of recovery and return to normal activities?

The long-term outlook for most clavicle fracture patients is generally positive. Here are some key points to consider:

• Complete healing: Most fractures heal completely within 3-6 months
• Functional recovery: The majority of patients regain full shoulder function
• Return to sports: Many can resume contact sports once the fracture is fully healed
• Residual symptoms: Some may experience minor discomfort or cosmetic changes

The timeline for returning to specific activities varies depending on the fracture severity, treatment method, and individual healing rates. Generally:

1. Light activities: Can often be resumed within 6-8 weeks
2. Non-contact sports: May be possible after 3-4 months
3. Contact sports: Usually allowed after 6 months, with physician approval
4. Heavy lifting: Gradually reintroduced based on fracture healing and muscle strength

It’s crucial for patients to follow their healthcare provider’s guidance and not rush the return to high-impact or contact activities to prevent re-injury or complications.

Factors Influencing Long-Term Outcomes

Several factors can affect the long-term prognosis of a clavicle fracture:

• Age: Younger patients often heal faster and more completely
• Overall health: Pre-existing conditions may impact healing and recovery
• Fracture complexity: More severe fractures may have longer recovery times
• Treatment adherence: Following medical advice is crucial for optimal outcomes
• Rehabilitation efforts: Consistent participation in physical therapy can improve results

By understanding these factors and working closely with their healthcare team, patients can optimize their recovery and long-term outcomes following a clavicle fracture.

Preventive Measures and Future Considerations

While not all clavicle fractures can be prevented, there are steps individuals can take to reduce their risk of injury. What preventive measures can be adopted to minimize the likelihood of clavicle fractures?

Preventive strategies include:

• Proper protective gear: Wearing appropriate padding and equipment during sports and high-risk activities
• Strengthening exercises: Building muscle strength around the shoulder girdle to improve stability
• Fall prevention: Practicing safe techniques for activities like cycling and skiing
• Bone health: Maintaining good nutrition and engaging in weight-bearing exercises to promote bone density
• Regular check-ups: Monitoring overall health and addressing any underlying conditions that may increase fracture risk

For individuals who have experienced a clavicle fracture, future considerations may include:

1. Long-term monitoring: Regular follow-ups to ensure continued proper healing and function
2. Activity modifications: Adjusting participation in high-risk activities based on individual healing and risk factors
3. Ongoing strengthening: Continuing exercises to maintain shoulder girdle strength and stability
4. Awareness of symptoms: Being vigilant for any signs of complications or re-injury

By adopting these preventive measures and maintaining awareness of potential risks, individuals can significantly reduce their chances of experiencing a clavicle fracture or complications from a previous injury.

Emerging Treatment Options

As medical science advances, new treatment options for clavicle fractures continue to emerge. Some areas of ongoing research and development include:

• Minimally invasive surgical techniques
• Advanced biological treatments to enhance bone healing
• Improved implant materials and designs
• Personalized treatment plans based on individual patient factors and fracture characteristics

These advancements may lead to improved outcomes, faster recovery times, and reduced complication rates for clavicle fracture patients in the future. As always, individuals should consult with their healthcare providers to determine the most appropriate treatment options based on their specific circumstances and the latest available evidence.

CLAVICLE FRACTURE TREATMENT | London Shoulder & Elbow Surgeon

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CLAVICLE FRACTURENick Ferran2021-05-26T17:02:49+01:00

What is a clavicle fracture?

Clavicle fractures are one of the most common fractures in the upper limb. The clavicle, or collarbone as it is commonly called, helps to connect the upper limb to the trunk of the body. When discussing clavicle fractures, we tend to divide them into 3 groups: Lateral fractures (fracture of the outer end of the collar bone), mid-shaft  fractures (most common), and medial fractures (fracture of the inner end of the bone near the breastbone or sternum). Medial clavicle fractures are rare.

Most fractures of the clavicle are caused from a fall on the outstretched hand, and some (lateral fractures) can be as a result of falling directly on to the side of the shoulder. Common causes of clavicle fractures include, falling of pushbikes or motorbikes, contact sports such as rugby, skiing injuries, and falls from horses. Fractures are common in all age groups.

How is a clavicle fracture treated?

How a fracture is treated depends on the location of the fracture in the bone, the amount of displacement, and the chances of the fracture not healing (non-union).

The majority of fractures of the clavicle are treated without an operation in a sling for up to 6 weeks. While in a sling, patients are encouraged to do exercises for the shoulder, elbow, wrist, and hand. You can see these exercises here.

Some clavicle fractures such as significantly displaced lateral and mid-shaft clavicle fractures may require surgery to reduce the fracture in order to allow healing and prevent the bone from healing in a poor position (mal-union).

What tests need to be done to diagnose a fracture of the clavicle?

Most fractures of the clavicle are easily diagnosed with simple xrays. In some cases when planning surgery for complex fractures, or trying to assess fracture healing, a CT scan may be required to look at the fracture in more detail.

How long does it take for a fracture of the clavicle to heal?

Most fracture of the clavicle heal within 6 weeks, some can take longer to heal (between 3 to 6 months), and some never heal (non-union). If a clavicle fracture does not heal within 6 months, we consider it a non-union. Mid-shaft fractures of the clavicle have an 85% chance of healing without the need for surgery. Several factors can affect fracture healing and we discuss these in the video below:

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Does surgery help my fracture heal quicker?

Surgery doesn’t help a fracture to heal quicker, the biological healing process takes the same time with surgery or without. What surgery aims to achieve is to bring fracture fragments into an anatomical position so that the bone heals with the correct shape. Surgery for fractures is used to reduce the risk of a fracture not healing, or healing in a bad position. Surgery has the benefit of stabilising the bone so that pain settles quicker, and the patient can regain some early movement.

What does fractured clavicle surgery involve?

Most fractures of the clavicle that require surgery are treated with plating. This involves patients having a general anaesthetic and nerve block, then an incision is made over the clavicle, the fracture fragments are reduced, and a plate applied on to the bone.

Once the fracture is fixed, the wound is sutured, and a sling is applied. Patients usually go home the same day of surgery and clinic follow-up is arranged. We take xrays in clinic at 2 weeks, 6 weeks, and 3 months to follow fracture healing.

In some cases, although the sling is removed at 6 weeks, movement of the arm is limited to shoulder height for a further 6 weeks to protect fracture healing.

Once the fracture is healed patients can usually get back to full activity including contact sports. In most cases clavicle plates are left in for life but in some high-risk cases where there is a risk of future fracture, or in cases where plates or screws are prominent, a second operation may be needed to remove the plate and screws once the fracture is fully healed (usually 6 to 9 months after initial surgery).

You can find out more about recovery from surgery here.

What are the risks of surgery for fractures of the clavicle?

Surgery for fractures of the clavicle include the following risks:

• anaesthetic risks,
• risk of bleeding,
• infection (less than 1%),
• damage to the nerves and blood vessels to the arm which run behind and below the clavicle (this risk is extremely low)
• scar numbness (a numb patch on the upper chest from cutting through skin nerves)
• fracture healing in a bad position (mal-union) or not healing at all (non-union)
• metalwork failure, infection or prominence and need for removal (low risk)
• shoulder stiffness (rare)

If you have a fractured clavicle and need treatment do get in touch.

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Nick Ferran @ Shoulder & Elbow London Ltd

Clinics in:

Chiswick – Harrow – St. Johns Wood

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Clavicle Fracture | Boston Children’s Hospital

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A clavicle fracture is a break in the bone that connects the breastbone to the shoulder blade. Also known as a broken collarbone, a clavicle fracture is a common injury in active children and teens.

Most clavicle fractures heal well with minimal treatment, however it’s important to bring your child to a doctor if you suspect they’ve broken the clavicle.

Clavicle Fracture | Symptoms & Causes

Symptoms include:

• pain around the shoulder or collarbone
• trouble moving the affected shoulder or arm
• swelling, bruising, or tenderness around the collarbone
• a prominence or tent-like appearance of the skin in the area of the collarbone

Clavicle fractures are common in contact sports like football, hockey, or lacrosse, when the shoulder suffers a direct blow to shoulder of another player, to the boards in hockey, or to the ground. Many clavicle fractures happen when a child or teen falls onto their shoulder, such as falling off a bike or scooter, playground equipment, skis, or skates. The injury can also be caused by a car accident.

Clavicle Fracture | Diagnosis & Treatments

Your child’s doctor will ask about the injury and how it happened. They will examine your child’s arm and shoulder and order an X-ray to confirm the diagnosis.

Your child will need to wear a brace or sling to immobilize their collarbone while it heals. The purpose of this is to keep your child comfortable. As their pain improves, your child may be able to stop wearing the sling or brace full time.

Unlike other broken bones, broken clavicle fractures don’t need to be set. Similarly, casts are not used for clavicle fractures since a cast would have to cover your child’s entire chest and shoulder to immobilize the area.

In special cases, your child’s doctor may recommend surgery. However, research conducted at Boston Children’s has shown that for the vast majority of fractures, even ones where the fractured bone fragments do not line up perfectly, adolescents treated without surgery undergo reliable and uneventful healing and report the same shoulder function, quality of life, and satisfaction as those who undergo surgery for clavicle fracture.

Some people have a visible bump after their clavicle heals. The bump generally becomes smaller over time as the bone continues to repair itself, even for older adolescents.

Rethinking surgery for adolescent clavicle fractures

A landmark study comparing surgical to non-surgical treatment of clavicle fractures in patients between the ages of 10 and 18 showed that in this age group, surgery did not lead to superior outcomes. Rather, it increased patients’ risk of complications.

Often, doctors will recommend using the shoulder sling most of the time for the first two weeks after the injury, then when at school and out of the house for the next month or so. It is OK for your child to move their arm when it feels comfortable to do so. However, they should not lift anything heavy or bear weight with the injured arm until their doctor tells them it is safe.

A second fall or injury could slow the healing process or cause a refracture (the collarbone breaks again) or even require surgery. Therefore, until your doctor clears them to return to specific activities, your child should avoid any activities that put them at risk such as:

• playing on playground structures like jungle gyms or swing sets
• sports like basketball, hockey, soccer, or gymnastics
• biking, ice skating, skiing or snowboarding

Returning to sports training and many lower risk sports is often allowed by around six weeks after the injury. However, children and teens typically need to avoid contact sports and other higher risk activities for three months after a clavicle fracture. Your child’s doctor can tell you when the bone is strong enough for your child to return to their previous activities.

The Orthopedic Center and Sports Medicine Division at Boston Children’s Hospital are dedicated to providing the best for children, adolescents, and young adults. Our team is made up of experts in child and adolescent growth patterns and treatments that promote optimal recovery from injury. We understand the essential role sports play in many of our patients’ lives and work with our patients a treatment plan to help them achieve their personal and athletic goals.

Whenever possible, we take a non-surgical approach to care.When an injury requires surgery, we look for the least invasive options and practice pain management techniques that promote faster recovery with minimal exposure to anesthesia.

Part of the Sports Medicine Division, The Micheli Center for Sports Injury Prevention is dedicated to the prevention of sports injuries. Through research and clinical training, we offer practical strategies that help young athletes reduce their risk of injury while enhancing their sports performance. Our rehabilitation and strength training programs help injured athletes return to play stronger and healthier.

Boston Children’s Hospital is the lead site for the largest prospective study ever conducted on adolescent clavicle fractures, which represents collaborative work by 8 different pediatric hospitals around the U.S. The study is designed to better understand how adolescent heal, grow, and respond to treatment of this common injury, whether treated with surgery or non-operative methods. A number of award-winning studies have come out of these research studies and changed the way the orthopedic community views adolescent clavicle fractures and their treatment. Your doctor at Boston Children’s Hospital is happy to share more of the details of this research and how it might relate to your child and the injury.

Clavicle Fracture | Programs & Services

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Clavicle fracture how long it heals – doctors’ opinion

Damage to the clavicle is considered a common injury that occurs mainly in young people. The fracture occurs when mechanical impact on the clavicle or shoulder. This can happen due to an accident, a fight, a fall. A fracture of the collarbone is a very dangerous injury that can lead to serious complications, so it is important to know how long the injury heals and what measures should be taken to avoid consequences.

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First Aid for Trauma

It is easy enough to diagnose a clavicle fracture, as this injury has a number of specific symptoms. A sharp pain occurs at the site of injury, which does not decrease with immobilization, and if you try to move your hand, the pain intensifies. Immediately after the fracture, swelling develops in the damaged area, and the temperature rises. In this case, any movement of the limb causes severe pain. The victim presses the damaged limb with a healthy limb to limit movement. If the victim has a thin physique, then the deformation of the clavicle is visible to the naked eye. Such fractures are always accompanied by displacement. The only exception may be a crack in the bone tissue.

The victim is in urgent need of hospitalization, so an ambulance must be called immediately after a collarbone fracture. The success of treatment will largely depend not only on competent therapy, but also on prompt first aid.

• Pain always accompanies bone damage, so it must first be reduced. For this, painkillers Ketanov, Ibuprofen, Pentalgin, Analgin and other drugs of similar action are suitable. No matter how severe the pain torments the victim, you should not give him more than two tablets at once, as this can cause a side effect.
• Cold must be applied to the injury site. This will reduce pain and reduce swelling. It is important to take breaks every 20 minutes to avoid frostbite.
• Need to immobilize the shoulder. Extra movements will not only increase pain, but also contribute to further displacement of fragments, which can lead to complications. The fact is that a healthy clavicle protects the neurovascular bundle, therefore, in the event of a fracture, bone fragments can damage important nerve plexuses.

The affected limb must be fully immobilized. To do this correctly, you need to do the following:

1. Make a tight roll of soft tissue and insert it into the armpit from the damaged side.
2. The arm must be bent at the elbow at an angle of 90 degrees.
3. A wide bandage for fracture of the collarbone is applied in such a way as to capture the entire forearm and hand, which should be suspended from the bandage hooked around the neck.
4. With a fixing scarf, it is necessary to immobilize the limb completely, tying the shoulder to the body.

In this position, you need to wait for the ambulance to arrive. In the hospital, a specialist will conduct an examination, make a diagnosis and prescribe the necessary treatment.

Outpatient treatment

Which treatment the doctor prescribes depends on the severity of the fracture. The main principle of therapy is to match the bone fragments and fix them for further fusion. In case of simple injuries, the specialist performs a manual reposition of bone fragments, after which a plaster is applied in case of a clavicle fracture. How long a fracture of the clavicle will grow together depends on how conscientiously all the doctor’s recommendations will be implemented, as well as on the age of the patient. It usually takes from one month to seven weeks to fully regenerate. In children, fusion occurs faster.

If conservative treatment does not give positive results, then resort to surgical intervention. Many doctors consider surgery to be the best way to treat complex clavicle fractures. Very often, fixation with gypsum does not give complete correct union, and open reposition allows the most accurate comparison of fragments. There are indications for surgery:

1. An open fracture of the clavicle always requires surgical measures.
2. Damage to nerve fibers by bone fragments.
3. The conservative method did not give results, the fracture turned out to be nonunion.
4. Malunion due to late admission to the hospital.

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The main purpose of surgery for fracture of the clavicle is to compare and fix bone fragments in an open way. In this case, auxiliary structures are used: spokes, plates, pins and screws. After the operation, it is still necessary to immobilize the injured arm, however, with successful surgical treatment, the process of bone fusion is faster than during conservative therapy.

Rehabilitation after a fracture

The rehabilitation period after a fracture of the collarbone plays an important role. Successful completion of all restorative procedures leads to rapid healing of even complex displaced fractures.

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Shoulder dislocation treatment after reduction

The shoulder joint is one of the most mobile in the human body. A healthy person is able to make movements …

The recovery period for a displaced clavicle fracture consists of three main directions:

Recovery period depending on the person’s age

Approximately 3-4 weeks

Recovers from 6 to 8 weeks

Integrity is up to 10 weeks

Possible complications and consequences

Fracture of the clavicle is considered a fairly complex injury from – which may lead to complications. As a rule, negative consequences occur immediately during the fracture. Fragments of the clavicle can damage the nerve bundle, after which the hand may remain partially or completely immobilized.

Read also

Complications after surgery include bleeding, infections and other consequences of open reduction. Otherwise, complications may arise due to improper bone fusion. In this case, the clavicle may become shortened or deformed, which interferes with the normal functioning of the joints of the limb. It happens that soft tissue is pinched between the fragments, while the bone cannot fully heal. A false joint is formed, which interferes with the normal functioning of the clavicle.

Doctors’ opinion

Traumatologists emphasize that in case of any fractures, especially if the clavicle is injured, first of all it is necessary to ensure the immobilization of the limb. Basically, all complications are related to the fact that a person immediately after a fracture tries to move his hand, while even more displacing bone fragments. In the preliminary fixation of the hand is the main principle of first aid. Undoubtedly, you need to immediately go to the hospital.

Depending on the complexity of the injury, the specialist prescribes the necessary therapy.

It is very important to treat rehabilitation procedures responsibly. It is dangerous to load an injured limb from the first days of recovery. The load should increase gradually, and only on the recommendations of a specialist. Timely admission to the hospital, responsibility at the stages of treatment and recovery will help speed up the healing process of even such a complex injury as a broken collarbone.

Results

Broken collarbone heals for quite a long time. It may take about two months for a full recovery. However, this period can be shortened if you conscientiously follow medical recommendations. But it is best not to endanger yourself initially, because injuries are easier to prevent than to treat.

Osteosynthesis for fracture of the clavicle in St. Petersburg

Digital X-ray and modern dressings

A wide range of high-tech surgical methods

Rehabilitation after injuries and surgeries

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How to prepare for the visit

Before performing osteosynthesis of the clavicle, you must undergo:

1. Preliminary consultation with an operating traumatologist at the XXI Century Medical Center to determine the indications and tactics of surgical treatment.

You must take with you to the consultation all available medical documentation regarding the treatment (previous doctor’s opinions, research results).

2. Pre-anesthesia examination:

Clinical blood test (BAC) (14 days)

– ALT (alanine transferase) (14 days)

– AST (aspartate aminotransferase) (14 days)

– Bilirubin total (14 days)

– – Fasting glucose (sugar) (14 days)

– – Creatinine (14 days)

– – Urea (14 days)

– – Total protein (14 days) 9 0003

– CRP (quantitative) (14 days)

– K / Na / Cl (potassium, sodium, chlorine) (comprehensive study for 3 electrolytes) (14 days)

– Coagulogram (INR, fibrinogen, prothrombin time, thrombin time, APTT=APTT, PTI) (14 days)

– – Urinalysis (OAM) (14 days)

– – HBs Ag (HBs antigen, hepatitis B surface antigen, Australian antigen) (14 days)

– – Anti-HCV (antibodies to hepatitis C virus) (14 days) 2 and p24 HIV antigen (ELISA) (14 days)

– – Microprecipitation reaction with cardiolipin antigen (RPR syphilis) (14 days)

– – Blood type and Rh factor (12 months)

– – Radiography (flu orography) lungs ( 12 months)

– ECG with interpretation (14 days)

– – Consultation (examination) of a therapist (14 days)

What happens after the service is rendered?

In the postoperative period, to keep the limb immobile, the patient needs to wear a kerchief or a fixing bandage.

In the absence of contraindications, passive development of the upper limb can be started on the second day after the operation. Active finger movements improve blood circulation in the operated area and are the best prevention of edema growth.

The average time to return to sports is 3 months after surgery.

Sutures are removed 10-14 days after surgery. Prior to this, it is necessary to come to the clinic for dressings (it will take about 5 visits).

After removing the stitches, it is important to immediately start a course of rehabilitation treatment, which is developed by the attending physician and includes exercise therapy, neuromyostimulation, as well as SWT, PTL, and massage.

If rehabilitation is refused, various complications may occur: incomplete bone fusion, false joint formation, secondary displacement of bone fragments, various neurological disorders, limitation of mobility in the upper limb.

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Combined inhalation anesthesia with SEVORAN with invasive mechanical ventilation + Conduction anesthesia with ultrasound navigation (induction and the first hour of anesthesia)

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