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Congenital pseudarthrosis of the clavicle: a proposal for early surgical treatment
F J Lorente Molto1, D J Bonete Lluch, I M Garrido
1Department of Pediatric Surgery, Section of Orthopaedic Surgery, La Fe Hospital for Children, Valencia, Spain. lorente_fra@gva.es
Insights
Congenital pseudarthrosis of the clavicle in children can be effectively treated with early surgical intervention. Bone grafting and Kirschner wire fixation led to successful healing in all reviewed cases.
Area of Science:
- Pediatric Orthopedics
- Skeletal Dysplasias
Background:
- Congenital pseudarthrosis of the clavicle (CPC) is a rare condition.
- It can lead to significant functional and cosmetic issues in children.
Purpose of the Study:
- To review outcomes of CPC treatment in pediatric patients.
- To evaluate the efficacy of early surgical intervention for CPC.
Main Methods:
- Retrospective review of six pediatric CPC cases.
- Surgical treatment involved bone grafting and Kirschner wire fixation.
- Follow-up assessed healing and functional recovery.
Main Results:
- All five surgically treated patients achieved pseudarthrosis healing within 6-8 weeks.
- Early surgical intervention (18 months to 4 years) yielded satisfactory results.
- One case presented with bilateral CPC involvement.
Conclusions:
- Early surgical treatment for CPC is a viable and effective option.
- Bone grafting with internal fixation provides reliable healing.
- Satisfactory outcomes support timely surgical management in pediatric CPC.
Abstract:
We present a review of six cases of children with congenital pseudarthrosis of the clavicle, treated and followed up at the "La Fe" Hospital for Children. One of them had bilateral involvement. Five of them, including the bilateral case, were surgically treated at ages ranging from 18 months to 4 years. Bone graft and internal fixation with a Kirschner wire were used. Healing of the pseudarthrosis was obtained in all patients in 6-8 weeks. We discuss the suitability of early surgical treatment that, in our opinion, produces very satisfactory results.
