Congenital pseudarthrosis of the clavicle treated by Masquelet technique.

Autor: Abdellaoui, Hicham, Atarraf, Karima, Chater, Lamiae
Zdroj: BMJ Case Reports; 11/9/2017, Vol. 2017, p1-3, 3p, 3 Color Photographs, 4 Black and White Photographs
Abstrakt: Congenital pseudarthrosis of the clavicle (CPC) is a very rare pathology of which over 200 cases have been reported. Usually discovered during the first months of life, CPC is characterised by a definitive bone defect in the middle third of the clavicle. Generally asymptomatic, the pseudarthrosis of the clavicle can cause aesthetic issues and functional symptoms indicating a surgical repair. Different reconstruction techniques have been reported with various complications. We present a 14-year-old boy diagnosed with CPC and concerned about the cosmetic aspect of a swelling of his right clavicle. We performed a two-stage surgical repair using the induced membrane technique described by Masquelet. A complete bone union has been obtained, and patient is satisfied with the cosmetic appearance. In our opinion, the Masquelet technique is a safe and reproducible procedure to treat CPC in high-risk older patients with long gap allowing a rapid and lasting bone union. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index