Originally Posted by NoodleArms .
I think it seriously just depends on the injury. Adult bones are completely different than children's and ORIF surgery is way more common and helpful in many cases.
I got the surgery, but I had also broken my clavicle in a few places, with several scattered comminuted (shattered) fractures throughout. I was a mess. Only needed the plate and 6 screws, but had to get a couple of bone grafts as well, surgery ended up taking almost twice as long as I was told it would take (and I got a little sick from the anesthesia as a result), but overall the healing has been pretty good and I'm thankful I didn't tear anything in my shoulder in the process (due to a repaired SLAP lesion 2 years ago). No complications to speak of in the last 4 months post op and I'm swimming, biking and running already... but I am having a bit of soreness around the plate now (recently), and there's still not a full union of my bone under it. bleh.
If you need it, you need it, but I will say, if you get hardware installed, it usually has to eventually come out again which requires another open surgery, another 6-8 weeks in a sling, etc. Leaving it in long term puts you at risk for osteoporosis of the bone under the plate since the plate is what will be bearing weight from daily activities. Pain in the @ss? totally. but sometimes it's just necessary.
I've met a few cyclists who regret not having the surgery after a non or mal union...