A patented brace in the design of a gilet waistcoat. 


Holds the shoulders and upperbody in perfect alignment offering the best healing environment for treating a clavicle fracture, also known as a broken collarbone.

This powerful brace is available only as part of a dedicated medically monitored care plan providing an acknowledged alternative to surgery for all closed clavicle fractures, even the most severe.

Over thirteen years use of the ClaviBrace has delivered evidence of outcomes equal to surgery with faster recovery time, a dramatic reduction in pain whilst allowing greater independence during healing. Wearers report being able to continue with everyday life including light training and in some cases, competitive sport where officially permitted.

Consultant and icon of the shoulder world, Mr Ian Bayley FRCS, at Circle Health Group Clementine Churchill Hospital and 75 Harley Street commented, "the ClaviBrace gilet provides ideal shoulder support and we're seeing really good results using it for clavicle fractures".

What does gold standard care give me?

You'll receive specialist medical treatment from day one.  Our care plan promotes natural healing using the ClaviBrace gilet brace.

An appointment is made for you straightaway to see one of our specialist shoulder consultants. During your consultation an x-ray will be carried out before and after being fitted with the ClaviBrace. The second to ensure the bone is set in a good healing position.

Monitored medical care is provided throughout your recovery assuring your outcome is every bit as successful as surgery giving you the peace of mind this risk-free alternative brings.

If your fracture is causing pain this will disappear soon after the brace is fitted.

Your treatment doesn't end there. Follow-up appointments are arranged to ensure your broken collarbone is healing well. Any adjustment needed to the brace is made accordingly with further x-rays taken along the way to confirm healing stays on target.


Heading up our London team is Mr Alun Yewlett FRCS at 108 Harley Street who also has clinics at Circle Health Group, The Lincoln Hospital, Lincolnshire. 

 Adding his expertise and support is consultant and legend of the shoulder world, Mr Ian Bayley FRCS, practicing at 75 Harley Street, and Circle Health Group, Clementine Churchill Hospital, Harrow, London.  

ClaviBrace Wins Breakthrough Technology Award

The ClaviBrace gilet brace, the name it's known by today, won a Da Vinci breakthrough technology award for improving the treatment of clavicle fractures (broken collarbones).

The bracing device was championed by highly acclaimed surgeon Professor Angus Wallace who nominated it for the award in 2010.  

Further collaboration with another icon of the shoulder world, consultant surgeon Mr Ian Bayley, saw the device evolve and develop further into the gilet style brace it is today. 

Both Professor Wallace and Mr Bayley were two of the four who founded shoulder surgery in the UK and who also founded and chaired The British Elbow and Shoulder Society (BESS), to which all those in shoulder surgery are affiliated.

My ClaviBrace Journey

Fourteen years ago I fell from my horse and broke my collarbone. A common break for horse riders and mine was a nasty one, shattered in four places and known in medical terms as a, 'comminated fracture'.

My name is Barbara Thompson and I'd never broken a bone before. It was the worst pain I'd ever known and it was relentless. Luckily for me I had medical insurance and so went straight to Professor Angus Wallace at Nottingham. 

He took one look at my x-ray and told me to have it plated. Not wanting a scar, I decided against surgery, and instead, set about having a go at fixing it myself. Anything to get rid of the excruciating pain.

My main aim was to relieve the pain. Even the strongest pain killers didn't touch it and they made me feel dizzy and nauseous. It got me thinking, there must be something that works better than the sling I'd been given by the hospital.   

I went on the internet and ordered every brace available for a broken collarbone. None worked particularly well, but with a bit from each, my modified version emerged and the pain was eased.

Incidentally, the horse I fell from was called 'Epicurus', from the Greek philosopher who concluded, “freedom from pain in the body” is the ultimate aim of a happy life".

Several weeks later the bone had knitted together nicely, and Professor Wallace declared me fit for discharge. He was curious though about what I'd done, as in his words, it shouldn’t have united at all or as well as it had. 

Thirteen years on, working with shoulder legends and an immense amount of luck and perseverance, we are proud to offer the ClaviBrace Gilet as a brace suitable for range of shoulder instabilities, including of course, a broken collarbone!

What Is A Clavicle Fracture?

Your clavicle is also known as a collarbone and despite the belief that a fracture is only a crack, it is a broken collarbone.


A good indication of a break is swelling and tenderness at the fracture site. You may also feel crunching as the broken ends shift and touch each other. 

If you suspect a fracture you will need to go straight to A&E where you'll be x-rayed. Once a break is confirmed you can decide on the best course of treatment. It is important to understand that you can opt out of the NHS system and choose this care plan or indeed opt for surgery privately if you wish.

We have two collarbones positioned at the front of each shoulder with one end connected at the sternum (the breast bone) and the other to the shoulder blade. Their purpose is to stabilise the shoulder, protect blood vessels and underlying nerves.   

A sharp blow at the shoulder area can result in one or both collarbones being broken. They are softer in composition than other bones in our body, with the exception of ribs, and heal faster.

If you break your collarbone, in most cases, there will be excruciating pain and you can expect to feel uncomfortable for up to four weeks. Purple bruising will appear after several days and may spread across the shoulder into the arm. 

Most people will not be able to lift their arm and neither should you try. Disruption can cause rotation at the fracture site and can lead to non-union [failure of the bone to join together]. Rotation at the fracture site may result in malunion (bad joining together/mismatched). Both leading to muscle and shoulder malfunction. 

It is therefore important to keep the injured side elbow close-in to the body at all times during healing.

If you need to take pain medication use Paracetamol, avoid Ibuprofen as this inhibits new bone formation. 

Image

Managing A Broken Collarbone Non-Operatively

Having had first-hand experience of The ClaviBrace Gilet, I am very excited by its potential, which, I believe can hold the answer to managing shoulder issues such as clavicle fractures non operatively. 

For me it obeys the crucial principle of supporting the three pillars, namely the pelvis, spine and shoulder blades upon which effective shoulder function ultimately depends.

With components cleverly concealed within an everyday looking gilet style waistcoat, and since continuous 24/7 wear is necessary, its design avoids any feeling of self-consciousness.

Mr Ian Bayley FRCS

Senior Orthopaedic Consultant, 75 Harley Street. Clementine Churhill Hospital, Harrow. London

Why we chose a gilet style design?

  • A gilet design covers a greater surface area allowing more traction to be applied at the shoulders.
  • Provides a more powerful and comfortable solution than other braces of this nature.
  • Supports the entire shoulder girdle, spine and pelvis.
  • Improves shoulder position and stabilises musculoskeletal structures.
  • Reduces disturbance at the fracture site and provides an ideal healing environment for faster repair and calcification (bone hardening). 
  • Provides feel-safe full body support.

Our gilet brace design has resolved the problems of the 'figure of eight splint', such as, 

  • Straps bearing down on the fracture, causing pressure on underlying nerves. 
  • Cutting up at the underarms, thereby, restricting blood flow to the arms. 
  • Slips round placing pressure on the back of the neck making it uncomfortable to wear. 

Although the principle of the figure of eight is logical enough, i.e. drawing back of the shoulders. It falls short when being used to resolve a clavicle fracture. The ClaviBrace gilet resolves those issues.

Only available through your medical healthcare provider 


Out of stock
Only
2020-12-08T16:47:00+0000

Prevents extremes of movement and attaches to the ClaviBrace

Bayley Arm Gaiter

$60.00
Out of stock
Only
2020-12-08T16:47:00+0000
Getting you back to sport sooner. A specially designed arm gaiter can be added to the Clavicle Gilet at three...
  • RIGHT 29cm
  • LEFT 29cm
  • RIGHT 37cm
  • LEFT 37cm
Bayley Arm Gaiter
Bayley Arm Gaiter
Bayley Arm Gaiter
Bayley Arm Gaiter
Bayley Arm Gaiter
Bayley Arm Gaiter

Professor Angus Wallace FRCS

Professor Wallace hit the headlines for treating a woman onboard a flight with a coat hanger. To this day is fondly known as 'Coat Hanger Wallace'. 

The Professor went on to develop the brace position after researching injuries in the 1989 Kegworth air crash. 

In 2006 he was invited by the England FA to provide an expert medical opinion on the fitness of Wayne Rooney to play in the World Cup. 

Professor Wallace was awarded his Honorary Fellowship at the Royal College of Physicians in London on 28 September 2017 in recognition of his 30 years contribution to the Specialty of Sport & Exercise Medicine. 

Along with Mr Ian Bayley, he was one of the founder members of the British Elbow & Shoulder Society (BESS), and has been actively involved in sports medicine gaining in-depth knowledge and understanding of rehabilitation and fitness loss in relation to sportsmen.  

Mr Ian Bayley FRCS

Mr Ian Bayley is a senior consultant orthopaedic surgeon with private practices at 75 Harley Street, London, and Circle Health Group at the Clementine Churchill Hospital, Harrow, London.

He was appointed to develop the Spinal Injuries Unit and Complex Shoulder Surgery Unit at the Royal National Orthopaedic Hospital Stanmore. He also took on the role of National Clinical Chair of the NHS Orthopaedic Services collaborative and various subsequent service redevelopment roles on the national stage. 

Along with Professor Wallace was one of the founder members of the British Elbow & Shoulder Society (BESS), and is a member of the British Orthopaedic Association (BOA) and the European Shoulder & Elbow Society.

His experience is based firmly at “the coal face” of clinical practice and spans the whole medical spectrum from acute care through rehabilitation to community reintegration, combined with service redesign and delivery. 

Clinical interests include complex pain states, shoulder instability, rotator cuff pathology, primary and revision shoulder replacement.   

Getting back to what matters most

ClaviBrace Gilet VERSUS Surgery

Union

Outcomes equal to plating surgery. 
Greater independence and ability to get on with life during convalescence.
Removes pain as soon as fitted - minimal use of pain medication, no antibiotics. 
Return to sport in approx 3-8 weeks.
Supporting and drawing the shoulders back naturally lengthens a shortened collarbone.
No scar Stronger mending, less chance of complications if the bone is broken again. Removes risks associated with surgery. 
No hospital stay - no risk of contracting infection.
No need for surgery to remove a metal plate.

Surgery

Union

Similar healing time.
Return to sport in approx 3-8 weeks.
Further downtime to remove plate.
Uses a metal plate to obtain original length
Scar Medication and antibiotics
Possibility of plate rejection or failure Risk of future impact causing a more difficult to treat fracture at one or either end of the plate
Potential for rupturing blood vessel and bleed into the chest cavity (minimal risk) Possible infection into the chest cavity (minimal risk) Surgery to remove a metal plate and further convalescence 6-8wks convalescence and potentially disrupting the plate  

Consequences of Ignoring a Collarbone Fracture
Mr Ian Bayley FRCS    

A broken collarbone conservatively managed, using the routinely prescribed collar and cuff or shoulder arm sling or a figure of eight splint, is not a treatment and can only be described as benign neglect of the broken bone. They do nothing to elongate the bone out to its original length or rectify rotation or encourage union of the two ends.


Those scenarios are a frequent cause of a condition called Scapular Dyskinesis (or winging scapula or shoulder blade malfunction). 


Shortening of more than three millimetres can throw additional strain on the shoulder blade and other elements in the kinetic chain such as spine and pelvis and predispose the patient to future discomfort and even injury.


The relationship between muscles and bone framework is altered with devastating effect. Muscles contrive to work abnormally, shoulder blades can 'wing' unnaturally outward and shoulders fall forward; all adversely affecting pelvic and spinal alignment. Posture is weakened and, if left unchecked, cause the stronger muscles to reverse roles and weaker sets are then deployed. Chronic or intense pain ensues with a life left compromised by an altogether avoidable condition.


Our understanding of shoulder problems has increased in the forty years of my involvement in the field. We have come to understand the importance of the shoulder blade, how commonly it is compromised, and how resistant to surgery it can be.


So how do we tackle such an important and potentially life-changing condition?


Scapula dyskinesia comes in varying degrees and can often go undiagnosed. It is a debilitating but not untreatable condition and we need to be able to treat all degrees of severity, not just the critical cases that come into my clinic.

One of the complications in treating the condition is the lack in the scapular (shoulder blade) of good mechanoreceptors - sensory receptors that rapidly transmit sensory information to the brain and the means by which the brain senses the position of shoulder joints/scapula.

Patients simply don't know if their scapula is winging, added to which the brain readily accepts the abnormal movement as normal.

For the vast majority of patients, physiotherapy is the first line of combat. In many cases, again for the majority, corrective exercise alone does not solve the problem. With surgery very much a last resort and no promise of success, patients are often left disappointed and in despair. 

We need new ways to tackle this condition. Having had first-hand experience of Angel Med’s ClaviBrace Gilet, I am very excited with the results we are seeing.

For me it obeys the crucial principle of supporting the three pillars, or better stepping stones - namely the pelvis, spine and shoulder blades – upon which effective shoulder function ultimately depends and it delivers this in a way acceptable to the wearer. 

This is still a medical brace, but components have been cleverly concealed in an everyday-looking gilet and since long-term wear may be necessary, it avoids any feeling of self-consciousness.

Facts About Surgery

All surgery poses risk and should be used as a last resort.

Weighing up surgery against a bad natural outcome has led to a surge in surgical procedures with the idea that surgery is best.

Plating surgery
A collarbone shaped piece of metal is fixed over the broken bone and is held in place with up to nine screws. It takes six months for the screws to consolidate and a further year to heal solidly enough to go back to high impact sports.


Other factors to consider

  • Not all plating surgery is successful
  • You will have a scar
  • Rejection of metal-ware
  • Screws may loosen causing the plate to fail
  • The area of plating can be left numb It takes a full year, from initial plating surgery, to heal and a further year if you decide to have the plate removed
  • A recent American study has shown that after shoulder surgery, the brain can disconnect from that area, causing the shoulder to malfunction  


What's involved in removing a collarbone [clavicle] plate?
The procedure to remove a collarbone [clavicle] plate takes around 35 minutes under general anaesthetic. 

After the plate has been removed the screw holes need time to fill-in. Those holes are lined up and can re-fracture like a zipper opening making the collarbone highly unstable for 6-8 weeks.

It takes a full year to heal completely and it is important during this time, not to fall or knock that shoulder. There are mixed opinions about removing a plate. The simple rule is, if you want to return to high-impact sports activities, have it removed.  

It takes a good six months for the collarbone to heal properly and during this time, raising your arm above your head or lifting should be avoided. There are no guides on a safe lifting weight and much depends on individual circumstances.


Risks of removing a plate
The bone re-breaks easily along the line of screw holes causing the bone to arch upwards forming a protrusion just under the skin.


Risks of keeping the plate in
With impact, the collarbone breaks beyond the plate causing a more serious and difficult-to-treat fracture than the original.

  • Future impact could push the metal plate into the neck
  • Straps rub over the area of the plate
  • Some feel the shoulder constantly cold

When do I start wearing the ClaviBrace Gilet?

Ideally you would be fitted with a ClaviBrace on the day of your fracture. Your healing window is however, around three weeks and the brace is at its most effective within this 

 period. We have had success upwards of three week and some non-unions resolved as long as six months after the fracture.


When you attend your first appointment remember to wear a Lycra top. You will not be able to remove the ClaviBrace gilet for three weeks, and we recommend bathing on a bird bath basis.


Once fitted and holding the fracture in good alignment the ClaviBrace must be worn continuously day and night for three weeks (usually). Think of it in the same way as wearing a cast for a broken arm.


Regular appointments are made to check the gilet is adjusted correctly and the fracture healing is on target. You will also be given neck, elbow, wrist and hand exercises by your physiotherapist to avoid stiffening of joints and surrounding muscles. 

 

How long will I need to wear the ClaviBrace Gilet?
After three weeks of wearing the ClaviBrace continuously most fractures are stable enough for the gilet to be worn on an intermittent basis. Your specialist will assess healing and advise accordingly. 


When can I discard the ClaviBrace Gilet?

After a period of intermittent use your Orthopaedic consultant will examine you and carried out an X-ray to determine whether your fracture has healed enough for you to completely discard the gilet. 

On your final physiotherapy appointment, you will be given a graded strengthening programme to restore full shoulder strength and function.

Tina's Story

International event rider, Tina Canton chose to have her badly comminuted fracture plated thinking it would get her back to competition riding faster. She was disappointed when her Orthopaedic consultant told her to stay in an arm sling for eight weeks. 

With pressure from horse owners to compete their horses and a business to run, she elected to wear the ClaviBrace Gilet and the Bayley Upperarm Gaiter to protect her plating, and competed three horses successfully, at four weeks post fracture and much sooner than would otherwise have been possible. 

Wearing the gilet, gaiter combination ensured that her collarbone, fragile after plating her fragmented collarbone, was securely supported.

Tina, a professional event rider, coach and lecturer at Nottingham Trent University, is the owner of Tinderbox Sport Horses and has run Tinderbox, near Newark, for the last 30 years. 

She is a qualified BHSI, a stage 5 performance coach in complete horsemanship, UKCC advanced coach, challenge awards trainer and competes up to three-star eventing level.

ClaviBrace Gilet Testimonials

When my son Nathan fractured his left clavicle in a mountain biking accident, we were so disappointed in his emergency room treatment that we immediately began researching alternate treatment methods. We quickly decided, at the age of 14yrs, that invasive surgery was not the option we wanted to pursue, especially with the implications of a second surgery to remove the hardware.

We were very excited when we found the ClaviBrace. It seemed the perfect non-surgical option for Nathan's clavicle fracture treatment. It provided the support he needed to open out his fracture and remove the pain and discomfort he was feeling. Our Orthopedic physician said his fracture had healed more than a month faster than he had seen in similar patients and the break had lined up nicely.

We’re so thankful to have found the ClaviBrace and can highly recommend it.

I highly recommend it for those wishing to avoid surgery.

Michael Smith Olympia, Washington USA

James Tune wouldn't have made it to the Olympics without wearing a Clavicular Gilet.

He broke both his right and left collarbone after hitting a tree in a freak mountain biking accident. The retailing specialist was advised by his medical consultant, not to use his hard fought-for swimming event ticket at London 2012 Olympics.

Despite this warning there was good news for James. After being fitted with a Clavicular Gilet he felt sufficiently protected and pain-free to venture into the Stratford crowds.

With his left collarbone in three pieces and his right side a so-called 'rugby fracture', he, like most others, had left hospital with two standard gauze slings which increasing put painful pressure on his neck.

He made his date with the altar getting married three days later, and his physio aunt made him another important date soon afterwards - to have a Clavicular Gilet fitted.

"It really helped me out. Initially it felt a bit sore but that all went in about 15 minutes. It was a massive relief to have the brace on with the two slings. It felt solid and secure."

James Tune

When Richard Walsh’s doctors heard about his broken collarbone, they seized on the chance to treat him at their surgery by fitting a Clavicular Gilet.

Their patient had been the victim of a hit and run accident when out for a routine cycle ride, waking up in hospital with no memory of what had happened but nursing a potential bleed in his skull, cuts and bruises and a painful fracture.

'‘My doctors rarely see a fresh collarbone fracture and were keen to see how Clavicular Gilet could help. I wore it 24/7 for three weeks and then went to them every week for minor adjustments."

“Clinically I think it’s very good, I have been very comfortable in it, and eight weeks in, I have got full function in my shoulder."

“Like most people I knew little of collarbone fracture treatments before I did this, and have been I amazed that there is really nothing between a thin piece of gauze round the neck and invasive surgery.”

Richard Walsh

When I broke my collarbone skiing in Italy it was not only excruciatingly painful but apparently inoperable!

I’m 22yrs old, a physically fit person and had never broken my collarbone before. I had a bad fall on the slopes and was taken to hospital where they fixed me up with a figure of eight brace. I was in excruciating pain and had to sleep the last night in Italy before flying home. The hospital brace cut into my shoulders and pressed against my broken bone. It was agony!!! I was unable to get myself out of bed and dress myself and was completely dependent on my friends to physically support me as I could barely move.

Once I landed back in the UK, I had heard about the Clavicular Gilet and wanted to purchase one ASAP. The brace was fitted onto me within two days and the pain relief was so instant it was unbelievable! The Clavicular Gilet supported me in such a comfortable way. I couldn’t feel the bone crunching - unlike before. I was able to move properly, sleep and shortly go back to work. A few weeks later I went back to hospital for a CT scan and they were able to give me the all clear as the scan showed a perfect union. Before I tried a Clavicular Gilet, my first CT scan showed that my collarbone was broken at the sternum end - a medial third fracture - which - I’m told – is very rare and inoperable.

I felt safe in the brace and my mind was put to rest. The consultant was right when he said “the brace was my best chance” because of where the fracture was. I can’t imagine going through the past few weeks without a Clavicular Gilet.

Jack Pike

I broke my collarbone out hunting when my horse fell, and was back on a horse and hunting hounds again three weeks later. The hospital said I needed an operation to fix it, but it was in the middle of the hunting season and, as1st whip with the Belvoir Hunt; I didn't want to take time off.

As soon as Clavicular Gilet was fitted, I felt a lot more comfortable and the pain went away soon after. Although I couldn’t ride, the brace gave me confidence around the yard and horses and to get about more easily. After a week I was able to follow the hunt in the Land Rover and didn’t need to take pain killers.

Even though the consultant told me that my fracture was serious (5mm displacement and button-holed), and surgery was my best option. I kept on with the brace. My final X-ray at three weeks showed the collarbone had formed new bone and had healed nicely to its original length without surgery. Great result, thanks.

Chris- 1st Whip with Belvoir Foxhounds