Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X
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Clavicle Nonunion — Plate vs Graft

Symptomatic nonunion: pain, cosmetic deformity, scapular dyskinesis, and weakness. Standard treatment: compression plating + autogenous iliac crest bone graft for atrophic nonunion. Superior vs anteroinferior plating—each has pros/cons (biomechanics vs soft‑tissue irritation). Segmental defects >3 cm or failed revisions may need vascularized graft (fibula). Smoking cessation and vitamin D optimization improve union.