Revision Clavicle Fracture ORIF with Bone Graft from the Distal Clavicle Utilizing BioBrace

Clavicle fractures are among the most common fractures. Nonunion fracture of the clavicle has traditionally been treated with autograft from the iliac crest, although it has been proposed that distal clavicle autograft would have less morbidities associated. Patient presented with a left midshaft clavicle fracture with broken hardware from previous open reduction internal fixation (ORIF). This was treated with removal of broken hardware, revision ORIF, and autograft bone from distal clavicle. Healing was augmented with bone marrow aspirate from the ipsilateral proximal humerus as well as with BioBrace (CONMED Corporation, Largo, FL) collagen strips to reestablish periosteal sleeve and retain bone graft material. Distal clavicle autograft augmented with BioBrace is presented as a novel method to treat nonunion clavicle fracture and may be associated with less morbidities.