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Congenital pseudarthrosis.

P L Schoenecker1, G E Johnson, B Howard

  • 1St. Louis Shriners Hospital for Crippled Children, Missouri.

Orthopaedic Review
|July 1, 1992
PubMed
Summary
This summary is machine-generated.

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Congenital pseudarthrosis of the clavicle can be successfully treated with surgical fixation and bone grafting. This method promotes bone healing and restores normal clavicle growth and function.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Bone Healing

Background:

  • Congenital pseudarthrosis of the clavicle is a rare condition.
  • It can lead to significant functional limitations and cosmetic deformities.
  • Surgical intervention is often necessary for treatment.

Observation:

  • Five pediatric patients with congenital pseudarthrosis of the clavicle were treated.
  • The surgical technique involved open reduction and internal fixation with contoured plates and screws.
  • Bone grafting, using iliac or local bone, was employed to bridge the clavicular defect.

Findings:

  • All five cases achieved radiographic bone consolidation within an average of 3 months.
  • Plate and screw removal occurred at an average of 16 months post-surgery.

Related Experiment Videos

  • Long-term follow-up (average 4 years) showed continued normal clavicular growth on roentgenograms.
  • Implications:

    • Surgical treatment for congenital pseudarthrosis of the clavicle leads to excellent functional outcomes.
    • Patients experienced pain-free, full range of motion and returned to unrestricted activities.
    • This approach effectively restores clavicular integrity and supports ongoing skeletal development.