Congenital pseudarthrosis of the clavicle treated by Masquelet technique

Abdellaoui, Hicham; Atarraf, Karima; Chater, Lamiae; Afifi, My Abderahmane

doi:10.1136/bcr-2017-221557

Cited by 15 publications

(8 citation statements)

References 22 publications

(11 reference statements)

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“…[ 22 ] However, it is preferred autologous iliac crest bone thanks to its greater biological benefits,[ 1 , 16 ] taking into account a remained and prolonged pain in the donor area. To solve this complication, Abdellaoui et al[ 23 ] proposed a modified Masquelet technique, as an alternative, to obtain complete union of the focus without graft interposition and with minimal aesthetic defect.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience

et al. 2021

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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.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience

et al. 2021

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“…Early treatment avoids complications, and surgery’s best time is between 4 and 7 years. 7 Operative options consist of pseudoarthrosis curettage and fixation (external or internal), with or without bone grafting. 7,8…”

Section: Discussionmentioning

confidence: 99%

Congenital Clavicular Pseudoarthrosis

Ramdani

Haddad

Allali

et al. 2020

Global Pediatric Health

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“…A ce jour, il n'existe pas de consensus pour la reconstruction de la clavicule chez l'enfant. Seuls deux cas de reconstruction de la clavicule en deux temps par la technique de la MI ont été publiés dont un fait partie de l'actuelle série [14,15]. Notre étude présentait plusieurs limites dont le caractère rétrospectif et la faiblesse de notre échantillon n'autorisant pas d'analyse statistique ainsi que l'absence de groupe contrôle.…”

Section: Discussionunclassified