Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Martínez-Aznar, Carmen, Parada-Avendaño, Isabel, Gómez-Palacio, Victoria E, Abando-Ruiz, Sandra, Gil-Albarova, Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2021
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
_version_ 1783684130999894016
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
work_keys_str_mv AT martinezaznarcarmen surgicaltreatmentofcongenitalpseudoarthrosisoftheclavicleour22yearsinglecenterexperience
AT paradaavendanoisabel surgicaltreatmentofcongenitalpseudoarthrosisoftheclavicleour22yearsinglecenterexperience
AT gomezpalaciovictoriae surgicaltreatmentofcongenitalpseudoarthrosisoftheclavicleour22yearsinglecenterexperience
AT abandoruizsandra surgicaltreatmentofcongenitalpseudoarthrosisoftheclavicleour22yearsinglecenterexperience
AT gilalbarovajorge surgicaltreatmentofcongenitalpseudoarthrosisoftheclavicleour22yearsinglecenterexperience