Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience

Martfnez-Aznar, C. ; Parada-Avendaño, I. ; Gómez-Palacio, V.E. (Universidad de Zaragoza) ; Abando-Ruiz, S. ; Gil-Albarova, J. (Universidad de Zaragoza)

Resumen: 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.

Idioma: Inglés

DOI: 10.5606/ehc.2021.79576

Año: 2021

Publicado en: Joint diseases and related surgery 32, 1 (2021), 224-229
ISSN: 2687-4784

Factor impacto JCR: 1.549 (2021)

Categ. JCR: SURGERY rank: 165 / 214 = 0.771 (2021) - Q4 - T3
Categ. JCR: ORTHOPEDICS rank: 66 / 86 = 0.767 (2021) - Q4 - T3

Factor impacto CITESCORE: 1.4 - Medicine (Q3)

Factor impacto SCIMAGO: 0.344 - Rehabilitation (Q3) - Orthopedics and Sports Medicine (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Traumatología y Ortopedia (Dpto. Cirugía)