000099786 001__ 99786
000099786 005__ 20230519145409.0
000099786 0247_ $$2doi$$a10.5606/ehc.2021.79576
000099786 0248_ $$2sideral$$a123323
000099786 037__ $$aART-2021-123323
000099786 041__ $$aeng
000099786 100__ $$aMartfnez-Aznar, C.
000099786 245__ $$aSurgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience
000099786 260__ $$c2021
000099786 5060_ $$aAccess copy available to the general public$$fUnrestricted
000099786 5203_ $$aObjectives: 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.
000099786 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000099786 590__ $$a1.549$$b2021
000099786 592__ $$a0.344$$b2021
000099786 594__ $$a1.4$$b2021
000099786 591__ $$aSURGERY$$b165 / 214 = 0.771$$c2021$$dQ4$$eT3
000099786 593__ $$aRehabilitation$$c2021$$dQ3
000099786 591__ $$aORTHOPEDICS$$b66 / 86 = 0.767$$c2021$$dQ4$$eT3
000099786 593__ $$aOrthopedics and Sports Medicine$$c2021$$dQ3
000099786 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000099786 700__ $$aParada-Avendaño, I.
000099786 700__ $$0(orcid)0000-0002-1190-3067$$aGómez-Palacio, V.E.$$uUniversidad de Zaragoza
000099786 700__ $$aAbando-Ruiz, S.
000099786 700__ $$0(orcid)0000-0002-1563-9136$$aGil-Albarova, J.$$uUniversidad de Zaragoza
000099786 7102_ $$11013$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Traumatología y Ortopedia
000099786 773__ $$g32, 1 (2021), 224-229$$pJt. dis. relat. surg.$$tJoint diseases and related surgery$$x2687-4784
000099786 8564_ $$s273910$$uhttps://zaguan.unizar.es/record/99786/files/texto_completo.pdf$$yVersión publicada
000099786 8564_ $$s2718328$$uhttps://zaguan.unizar.es/record/99786/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000099786 909CO $$ooai:zaguan.unizar.es:99786$$particulos$$pdriver
000099786 951__ $$a2023-05-18-13:52:58
000099786 980__ $$aARTICLE