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Related Experiment Video

Updated: Jun 8, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Bilateral clavicle fracture external fixation.

N Bonnevialle¹, Y Delannis, P Mansat

¹Orthopaedics and Traumatology Department, Toulouse-Purpan Teaching Hospital Center, place-du-Dr-Baylac, 31059 Toulouse, France. nicolasbonnevialle@yahoo.fr

Orthopaedics & Traumatology, Surgery & Research : OTSR

|September 21, 2010

Summary

Bilateral clavicle fractures with severe skin damage required external fixator stabilization. Successful bone union and functional recovery occurred despite a Propionibacterium acnes infection, validating surgical intervention.

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Area of Science:

Orthopedic surgery
Traumatology
Infectious disease

Background:

Middle third clavicle fractures are common, with conservative treatment achieving union in ~95% of cases.
Surgical intervention is standard for open fractures, significant skin damage, neurovascular compromise, or shoulder stump syndromes.

Observation:

A case of bilateral clavicle fractures presented with extensive cutaneous damage after initial conservative management.
This necessitated bilateral stabilization using an external fixator.

Findings:

Intraoperative discovery of Propionibacterium acnes infection.
Bone union was achieved within the expected timeframe.
A satisfactory functional outcome was obtained.

Implications:

This case supports the use of external fixators for complex clavicle fractures with severe soft tissue injury.
It highlights the successful management of clavicle fractures complicated by infection.
Demonstrates the viability of surgical stabilization even with intraoperative infection, leading to good functional results.