Clavicle Fracture ORIF — Clavicle Fracture — ORIF (Post-Operative)

University of Virginia Orthopaedic Surgery

Weight-Bearing

Minimal UE WB (1-2 lbs) weeks 2-4; up to 5 lbs weeks 4-6

Key Restrictions

Sling for comfort weeks 2-4; discontinue sling at 4-6 weeks; Aspirin 325 mg daily for DVT prophylaxis; PROM/AAROM only weeks 2-4; active ROM and progressive strengthening from weeks 4-6

Timeline & Phases

2-4 wks: 1-2 lb WB, sling for comfort, Aspirin 325 mg, elbow/wrist stretching, pendulums, AAROM/PROM (forward elevation, supported rotation); 4-6 wks: up to 5 lb WB, discontinue sling, continue Aspirin, active ROM (wall walks, elevation, abduction — 3 reps only), shoulder isometrics (ext/ER/IR/add/abd), isotonic IR/ER with <5 lbs

Notes

UVA Orthopaedic Trauma ORIF protocol; Aspirin 325 mg daily for DVT; active ROM begins earlier (wks 4-6) than non-op (wks 6-12); WB limit 5 lbs at 4-6 weeks (vs. 10 lbs at 6-12 weeks for non-op); 2-phase post-op protocol; same exercise program as non-op from phase 2 onward

Published

10/2021