A Free Vascularized Fibular Graft, Open Reduction and Internal Fixation for the Treatment of Non-Union after Middle-Third Clavicle Fractures: A Case Series

Background: Comminuted fractures of the clavicula with large bony defects, although rare, often result in multiple attempts at surgical management. We have used a free vascularized fibular bone graft, with Open Reduction and Internal Fixation (ORIF) as a reconstructive treatment option for the salvage of this complex condition after non-union.