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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

464
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
464

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Related Experiment Video

Updated: Jan 1, 2026

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
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372

Sternoclavicular Joint Infections: Improved Outcomes With Myocutaneous Flaps.

Barkat Ali1, Anil Shetty1, Fares Qeadan2

  • 1Division of Plastic and Reconstructive Surgery, University of New Mexico, Albuquerque, New Mexico.

Seminars in Thoracic and Cardiovascular Surgery
|December 24, 2019
PubMed
Summary
This summary is machine-generated.

Sternoclavicular joint (SCJ) infections require aggressive surgical treatment. Radical SCJ resection with myocutaneous flap (MCF) closure, either primary or delayed, significantly reduces infection recurrence compared to wound vacuum therapy.

Keywords:
Chest wall infectionsMyocutaneous flapsOsteomyelitisSeptic arthritisSternoclavicular joint

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Surgical Oncology

Background:

  • Sternoclavicular joint (SCJ) infections are rare and their optimal management is debated.
  • An aggressive surgical strategy involving radical SCJ resection and myocutaneous flap (MCF) closure has been adopted.

Purpose of the Study:

  • To review the institutional experience with radical SCJ resection and MCF closure for SCJ infections.
  • To evaluate the efficacy and outcomes of this aggressive surgical approach.

Main Methods:

  • A retrospective review of 50 consecutive patients surgically treated for SCJ infections from July 2004 to June 2018.
  • All patients underwent ipsilateral SCJ resection, with wound closure via primary MCF, delayed MCF, or definitive wound vacuum therapy (DWVT).
  • Analysis included patient demographics, imaging, microbiology, operative variables, and outcomes such as infection recurrence, morbidity, and mortality.

Main Results:

  • The most common symptoms were localized swelling and pain. MSSA was the most frequent pathogen.
  • Comorbidities included high rates of tobacco smoking, diabetes mellitus, and intravenous drug use.
  • Primary or delayed MCF closure resulted in a significantly lower infection recurrence rate (2.27%) compared to DWVT closure (33.33%).

Conclusions:

  • SCJ infections necessitate an aggressive surgical management strategy.
  • Myocutaneous flap closure (primary or delayed) is superior to DWVT for reducing infection recurrence after radical SCJ resection.
  • Radical SCJ resection combined with MCF closure should be the preferred treatment for SCJ infections.