Complications after sternoclavicular surgery.
Floor M van Diek1, Nienke M Kosse2, Marco van der Pluijm1
1Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, the Netherlands.
Journal of Shoulder and Elbow Surgery
|October 10, 2020
Summary
Complications, including infections, are common after sternoclavicular joint (SCJ) surgery. Early identification and prevention, possibly with benzoyl peroxide gel, are crucial for better outcomes.
Area of Science:
- Orthopedic Surgery
- Infectious Disease
- Biomedical Research
Background:
- Sternoclavicular joint (SCJ) pathologies and surgery are infrequent.
- SCJ surgery complications can be severe, necessitating further investigation.
Purpose of the Study:
- To evaluate the incidence and types of complications, with a focus on infections, following SCJ surgery.
- To identify risk factors and potential preventative measures for SCJ surgery complications.
Main Methods:
- Retrospective cohort study of 68 patients undergoing SCJ surgery with at least 1-year follow-up.
- Analysis of patient demographics, intraoperative/postoperative complications, reoperations, and microbiological data.
Main Results:
- Overall complication rate was 38.2% (26/68 patients).
- Infection occurred in 23.5% (16/68 patients), with Cutibacterium acnes being the most common pathogen (14/16 infections).
- Infections were more frequent in men (P = .02); 14 reoperations were performed due to infection.
Conclusions:
- Complications, particularly C. acnes infections, are more frequent after SCJ surgery than previously reported.
- Early detection and prevention of infections are vital to avoid persistent issues and reconstructive failure.
- Preoperative use of benzoyl peroxide gel may reduce early C. acnes infections.
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