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: Article (Published version)
Área (Departamento): Área Traumatología y Ortopedia (Dpto. Cirugía)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
Exportado de SIDERAL (2023-05-18-13:52:58)
Visitas y descargas
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: Article (Published version)
Área (Departamento): Área Traumatología y Ortopedia (Dpto. Cirugía)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2023-05-18-13:52:58)
Permalink:
Visitas y descargas
Este artículo se encuentra en las siguientes colecciones:
Articles
Record created 2021-03-09, last modified 2023-05-19