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A member asked:

My friend has a type 1 comminuted clavicle fracture with skin tenting. surgery or manual reduction? he is 13 y/o.

A doctor has provided 1 answer
Dr. David Trettin answered

Specializes in Orthopedic Surgery

Controversial: If the X-ray shows some comminution(‘shattered’)and there is potential for skin compromise then ORIF is recommended. Shoulder width can be restored. Both closed and open treatment leads to reliable healing.ORIF( open reduction internal fixation)has downsides of a prominent scar and a slight risk of infection. Good Luck!

Answered 12/28/2017

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