Momberger N G, Smith J, Coleman D A
Department of Orthopedics, University of Utah, Salt Lake City, USA.
J Shoulder Elbow Surg. 2000 Sep-Oct;9(5):389-94. doi: 10.1067/mse.2000.107090.
Three cases of persistent nonunion of the clavicle with segmental bone loss were treated with autogenous, vascularized fibular grafts. In each case, the patient presented with pain and shoulder dysfunction after an average of 3.7 procedures. Each case was characterized by segmental bone loss that failed to unite after treatment of clavicle nonunion by traditional means. Union was achieved in all 3 cases. Average follow-up was 2.8 years. Both pain and shoulder function were improved with the procedure. To date, the use of vascularized fibular grafts has not been described in clavicle reconstruction. We believe that vascularized fibular grafting may be used successfully as a salvage procedure when traditional means of achieving union have failed.
三例锁骨持续性骨不连伴节段性骨缺损患者接受了自体带血管腓骨移植治疗。每例患者在平均经历3.7次手术后均出现疼痛和肩部功能障碍。每例患者的特点均为节段性骨缺损，经传统方法治疗锁骨骨不连后仍未愈合。所有3例患者均实现了骨愈合。平均随访时间为2.8年。该手术改善了疼痛和肩部功能。迄今为止，尚未有关于带血管腓骨移植用于锁骨重建的报道。我们认为，当传统的骨愈合方法失败时，带血管腓骨移植可作为一种挽救性手术成功应用。
