Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience
| Autor: | Jorge Gil-Albarova, Isabel Parada-Avendaño, Sandra Abando-Ruiz, Victoria Eugenia Gómez-Palacio, Carmen Martínez-Aznar |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Radiography Single Center Cohort Studies Postoperative Complications medicine Humans Internal fixation Case Series Orthopedic Procedures Orthopedics and Sports Medicine Kirschner wire congenital pseudarthrosis of clavicle Retrospective Studies Fixation (histology) business.industry Rehabilitation medicine.disease Clavicle Internal Fixators shoulder and hand surgical procedures Surgery Pseudarthrosis medicine.anatomical_structure Child Preschool Cohort Female business Bone Plates quick disabilities of the arm Bone Wires |
| Zdroj: | Zaguán. Repositorio Digital de la Universidad de Zaragoza instname Joint Diseases and Related Surgery Zaguán: Repositorio Digital de la Universidad de Zaragoza Universidad de Zaragoza |
| Popis: | Objectives: This study reports the surgical outcomes in a patient cohort with congenital pseudarthrosis of the clavicle (CPC). Patients and methods: A total of nine pediatric patients (5 males, 4 females; mean age: 4.43 years; range, 2 to 12 years) who were diagnosed with CPC and treated surgically with a minimum one-year follow-up between January 1996 and December 2018 were retrospectively analyzed. The patients were divided into two groups according to the fixation method as the Kirschner wire (K-wire; Group A, n=2) or stabilization with a plate (Group B, n=7). The physical function and symptoms were evaluated using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scale. Results: The mean age at the time of diagnosis was 2.95 (range, 0 to 12) years. Six cases were atrophic pseudarthrosis and three cases were hypertrophic. Radiographic consolidation occurred in all cases with a mean duration of 103.8±39.1 days, indicating no significant difference between the groups (p>0.05). Complications registered were a K-wire breakage in a patient in Group A and an internal fixation plate loosening in a patient in Group B. The mean postoperative follow-up was 2.98±1.82 years. The QuickDASH score was 0 points in all patients. Conclusion: The early surgical indication based on refreshment of the pseudarthrosis focus, with bone autograft interposition when a failure exists to restore adequate clavicular length, and fixation are reliable alternatives with favorable clinical and radiological results in the mid- and long-term with fewer complications. |
| Databáze: | OpenAIRE |
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