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Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bayçınar Medical Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073441/ https://www.ncbi.nlm.nih.gov/pubmed/33463441 http://dx.doi.org/10.5606/ehc.2021.79576 |
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author | Martínez-Aznar, Carmen Parada-Avendaño, Isabel Gómez-Palacio, Victoria E Abando-Ruiz, Sandra Gil-Albarova, Jorge |
author_facet | Martínez-Aznar, Carmen Parada-Avendaño, Isabel Gómez-Palacio, Victoria E Abando-Ruiz, Sandra Gil-Albarova, Jorge |
author_sort | Martínez-Aznar, Carmen |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8073441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Bayçınar Medical Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-80734412021-04-26 Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience Martínez-Aznar, Carmen Parada-Avendaño, Isabel Gómez-Palacio, Victoria E Abando-Ruiz, Sandra Gil-Albarova, Jorge Jt Dis Relat Surg Case Series 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. Bayçınar Medical Publishing 2021-01-06 /pmc/articles/PMC8073441/ /pubmed/33463441 http://dx.doi.org/10.5606/ehc.2021.79576 Text en Copyright © 2021, Turkish Joint Diseases Foundation https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Case Series Martínez-Aznar, Carmen Parada-Avendaño, Isabel Gómez-Palacio, Victoria E Abando-Ruiz, Sandra Gil-Albarova, Jorge Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience |
title | Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience |
title_full | Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience |
title_fullStr | Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience |
title_full_unstemmed | Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience |
title_short | Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience |
title_sort | surgical treatment of congenital pseudoarthrosis of the clavicle: our 22-year, single-center experience |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073441/ https://www.ncbi.nlm.nih.gov/pubmed/33463441 http://dx.doi.org/10.5606/ehc.2021.79576 |
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