Clavicle osteotomy with bone graft

A clavicle osteotomy involves correcting a deformity or poor union of the clavicle that is causing pain, functional impairment or loss of shoulder mobility. Following realignment of the bone, a bone graft (autograft or allograft) may be inserted to restore the length of the clavicle and promote sound healing. Fixation is achieved using a screw-fixed plate.

This procedure requires meticulous dissection as the brachial plexus runs immediately behind the clavicle. A pre-existing deformity or pseudarthrosis may alter the anatomical relationships and make protecting the nerve more challenging. Although rare, irritation or a transient—or, in exceptional cases, permanent—neurological injury constitutes a specific risk of this surgery.

Bone union generally takes 2 to 3 months, with initial immobilisation followed by gradual rehabilitation to restore shoulder mobility and strength.