A three-stage procedure using bone transportation for the treatment of sternoclavicular infectious arthritis

Chen, Hua; Ji, Xiaotong; Hao, Ming; Zhang, Qun; Tang, Peifu

doi:10.1186/s13018-016-0480-0

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Latissimus dorsi flaps are also an option. Use of muscle flaps are associated with a higher need for blood transfusion and longer hospital stays (10.5 vs. 5.5 days) however (87)(88)(89).…”

Section: Surgerymentioning

confidence: 99%

Diagnosis and management of sternoclavicular joint infections: a literature review

2020

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The sternoclavicular joint (SCJ) is anatomically and clinically significant considering its proximity to important neuro-vascular structures like the subclavian vessels and the phrenic nerve. Infections of this joint masquerade multiple disorders, delay diagnosis and spread to the bone and deep tissues. There is no standardized workup and treatment protocol for sternoclavicular joint infections (SCJI) as defined in literature. Here, we review the existing literature to understand the current knowledge of the diagnosis and treatment of SCJI. We searched English publications in PubMed and included clinical trials, case reports, case series, retrospective cohort studies, literature and systematic reviews after excluding non-infectious etiology of SCJ pathologies. There are many risk factors for SCJI, such as immunocompromised status, intravenous drug use, trauma and arthropathies. But a large percentage of patients with disease have none of these risk factors. SCJIs can present with fever, joint swelling, immobility, and rarely with vocal cord palsy or dysphagia. While Staphylococcus aureus causes over 50% of SCJI cases, other pathogens such as Pseudomonas and Mycobacterium are frequently seen. When diagnosed early, the infection can be medically managed with antibiotics or joint aspirations. Most cases of SCJI, however, are diagnosed after extensive spread to soft tissue and bones requiring en-bloc resection with or without a muscle flap. Complications of undertreatment can range from simple abscess formation to mediastinitis, even sepsis. SCJIs are rare but serious infections prompting early detection and interventions. Most cases of SCJI treated adequately show complete resolution in months while retaining maximum functionality. Key features of proper healing include aggressive physiotherapy to prevent adhesive shoulder capsulitis and decreased range of motion.

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“…Latissimus dorsi flaps are also an option. Use of muscle flaps are associated with a higher need for blood transfusion and longer hospital stays (10.5 vs. 5.5 days) however (87)(88)(89).…”

Section: Surgerymentioning

confidence: 99%

Diagnosis and management of sternoclavicular joint infections: a literature review

2020

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“…e wound does not need to be sutured forcibly. Open dressing can be given to avoid skin necrosis due to excessive skin tension [21,22]. If the wound is combined with exposed tendons, combined with skin flap transfer to repair the wound, the choice of the flap can be based on the situation.…”

Section: Debridement and Soft Tissue Treatmentmentioning

confidence: 99%

Carbon Nanomaterials in the Treatment of Infectious Bone Defects and Wound Scars after Wushu Fractures

Wei

Zou

et al. 2020

Journal of Chemistry

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Although modern antibiotics and surgical technology have made great progress, when using carbon nanomaterials to treat bone marrow-induced inflammation after martial arts fractures, how to simultaneously repair bone defects and control wound infections is the current focus of orthopedics research. This paper uses electrospinning technology to develop a carbon nanomaterial based on PLA, HA-g-PLA, and vancomycin. The surface morphology, biocompatibility, drug release, and osteogenesis of carbon nanomaterials are studied, selecting animal models to verify its effect in the treatment of osteomyelitis with bone defects and provide new ideas and new methods for the treatment of bone defects complicated by osteomyelitis infection. In this paper, carbon nanofibers containing doxycycline, a small molecule protease inhibitor, were prepared by simple blending. Encapsulation of carbon nanofibers can control the slow release of doxycycline and improve the effect of doxycycline in treating chronic wounds. This article uses two methods to prepare different types of osteomyelitis models and compare them. After injecting saline or bacterial solution, the two groups were sealed with bone wax and the incision was closed; the blank group did not do any treatment. Within 30 days after surgery, the appearance of the left hind limb wound and general signs of infection were closely monitored, body temperature was measured, and blood was collected from the ear veins of experimental animals to analyze the changes in C-reactive protein (CRP) and procalcitonin levels (PCT); X-ray, CT imaging, and histological observation were performed on 14 and 28 days. Studies have shown that when the drug loading of doxycycline increases from 10% to 15%, this is related to the change in properties of the polylactic acid fiber membrane from hydrophobic to hydrophilic caused by the increase in doxycycline drug loading.

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Sternoclavicular joint purulent arthritis and its complications: tactics of surgical treatment, results of restoration

Перцов¹,

Tіelushko²,

Савченко³

2020

ZMJ

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Цель работы -совершенствование лечебно-диагностической тактики у больных с гнойным артритом грудино-ключичного сустава.Материалы и методы. Проведено проспективное одноцентровое исследование, в которое включены 30 пациентов с острым гнойным артритом грудино-ключичного сустава и его осложнениями. Пациентов поделили на 2 группы по способу

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A three-stage procedure using bone transportation for the treatment of sternoclavicular infectious arthritis

Cited by 3 publications

References 22 publications

Diagnosis and management of sternoclavicular joint infections: a literature review

Diagnosis and management of sternoclavicular joint infections: a literature review

Carbon Nanomaterials in the Treatment of Infectious Bone Defects and Wound Scars after Wushu Fractures

Sternoclavicular joint purulent arthritis and its complications: tactics of surgical treatment, results of restoration

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