Giovanni Luigi Di Gennaro1, Mattia Cravino2, Alessandro Martinelli3, Eleonora Berardi1, Anish Rao4, Stefano Stilli1, Giovanni Trisolino5. 1. Department of Paediatric Orthopedics and Traumatology, Rizzoli Orthopedic Institute, Bologna, Italy. 2. Department of Paediatric Orthopedics and Traumatology, Cesare Arrigo Pediatric Hospital, Alessandria, Italy. 3. Ospedale dei Bambini Vittore Buzzi, Milan, Italy. 4. GMERS Medical College, Valsad, India. 5. Department of Paediatric Orthopedics and Traumatology, Rizzoli Orthopedic Institute, Bologna, Italy. Electronic address: giovanni.trisolino@ior.it.
Abstract
HYPOTHESIS: We aimed to report our experience in treating congenital pseudarthrosis of the clavicle (CPC). MATERIALS AND METHODS: A retrospective search of the archive of our institute was performed; 27 cases (12 male and 15 female patients) affected by CPC were recorded. Among these patients, 19 underwent surgical intervention for cosmetic appearance between 1960 and 2015. Of 19 patients, 18 were treated by pseudarthrosis resection and stabilization with a Kirschner wire, whereas in 1 case, the osteosynthesis was performed with a plate. Iliac crest bone autograft was used in 15 patients, whereas 4 patients were treated with a fibular allograft. RESULTS: The mean follow-up period was 36.3 ± 49.1 months. Bone healing was achieved in 14 of 19 operated cases (74%); none of the patients had complaints regarding cosmetic abnormalities or unesthetic appearance. All the operated patients were pain free, range of motion was complete, and no other subjective anomalies were found. No vascular or neurologic complications were observed. However, the use of allograft was associated with high rates of nonunion in this case series (P = .037). CONCLUSION: CPC can be satisfactorily treated by K-wire fixation and autologous iliac crest bone grafting, which showed better results in terms of functional and cosmetic outcome.
HYPOTHESIS: We aimed to report our experience in treating congenital pseudarthrosis of the clavicle (CPC). MATERIALS AND METHODS: A retrospective search of the archive of our institute was performed; 27 cases (12 male and 15 female patients) affected by CPC were recorded. Among these patients, 19 underwent surgical intervention for cosmetic appearance between 1960 and 2015. Of 19 patients, 18 were treated by pseudarthrosis resection and stabilization with a Kirschner wire, whereas in 1 case, the osteosynthesis was performed with a plate. Iliac crest bone autograft was used in 15 patients, whereas 4 patients were treated with a fibular allograft. RESULTS: The mean follow-up period was 36.3 ± 49.1 months. Bone healing was achieved in 14 of 19 operated cases (74%); none of the patients had complaints regarding cosmetic abnormalities or unesthetic appearance. All the operated patients were pain free, range of motion was complete, and no other subjective anomalies were found. No vascular or neurologic complications were observed. However, the use of allograft was associated with high rates of nonunion in this case series (P = .037). CONCLUSION:CPC can be satisfactorily treated by K-wire fixation and autologous iliac crest bone grafting, which showed better results in terms of functional and cosmetic outcome.
Authors: Alessandro Depaoli; Paola Zarantonello; Giovanni Gallone; Giovanni Luigi Di Gennaro; Daniele Ferrari; Leonardo Marchesini Reggiani; Aniello Manca; Giovanni Trisolino Journal: Children (Basel) Date: 2022-01-24
Authors: Jin Li; Sheng Ping Tang; Hai Bo Mei; Jing Fan Shao; Bao Jie Shi; Hai Qiang Wang; Xin Tang Journal: J Orthop Surg Res Date: 2021-05-08 Impact factor: 2.359
Authors: Carmen Martínez-Aznar; Isabel Parada-Avendaño; Victoria E Gómez-Palacio; Sandra Abando-Ruiz; Jorge Gil-Albarova Journal: Jt Dis Relat Surg Date: 2021-01-06