Congenital clavicular pseudarthrosis: Comparison of two treatment methods

Abstract

Excision of the pseudarthrosis, autogenous iliac bone grafting and stabilisation with plate achieves union quicker and with lower incidence of complications compared to excision of the pseudarthrosis, autogenous iliac bone grafting and stabilisation with fully threaded pins.

Seudoartrosis congénita de clavícula bilateral. Caso clínico

“…Prakash Chandran et al 10 en su estudio refieren menor tasa de infecciones y complicaciones mediante el uso de placas en comparación con la osteosíntesis mediante agujas de Kirschner. A diferencia con la seudoartrosis congénita, en el caso de la seudoartrosis postraumática, la mayoría de los pacientes requieren tratamiento quirúrgico debido al dolor y a la limitación de la movilidad que asocian estas lesiones.…”

Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome

“…Surgical options include excision of the pseudarthrosis plus: Internal fixation (plates and screws,29 screws alone29), Kirschner wires,8 12 14 15 intramedullary Steinmann pins4 Bone grafting14 29 +/− internal fixation External fixation …”

“…Internal fixation (plates and screws,29 screws alone29), Kirschner wires,8 12 14 15 intramedullary Steinmann pins4…”

Congenital pseudarthrosis of the clavicle in a 7-year-old girl: A case report treated with smooth elastic intramedullary pinning without bone grafting and literature review

“…carried out only an excision of the pseudarthrosis while preserving the periosteum without the addition of graft or internal fi xation with a satisfactory consolidation in 14 weeks in 8 children. Chandran [24] advocates excision-grafting and internal fi xation by a DCP plate for faster consolidation with fewer complications compared to the use of threaded pins in a comparative study of the 2 methods of open reduction and internal fi xation.…”