Spapens Nouchka, Degreef Ilse, Debeer Philippe
Department of Musculoskeletal Science, Division of Orthopedics, University Hospital Pellenberg, Pellenberg, Belgium.
J Pediatr Orthop B. 2010 Mar;19(2):188-90. doi: 10.1097/BPB.0b013e32832efc0a.
We describe an 8-year-old girl who developed a posttraumatic pseudarthrosis of the right clavicle. Despite the great periosteal regenerative potential in children, the fracture did not heal at 12 months with a classic conservative treatment. As a result of pain and functional limitations, surgical treatment was required. Excess bone of the hypertrophic nonunion was removed and an open reduction and internal fixation with a compression plate were performed. Cancellous bone chips from the iliac crest were packed into the fracture site. Good remodelling and consolidation was achieved 10 months after the operation. At that stage, the functional outcome was satisfactory.
我们描述了一名8岁女孩，她发生了右锁骨创伤后假关节。尽管儿童骨膜具有巨大的再生潜力，但采用经典保守治疗12个月后骨折仍未愈合。由于疼痛和功能受限，需要进行手术治疗。切除肥大性骨不连的多余骨质，并采用加压钢板进行切开复位内固定。将取自髂嵴的松质骨碎片植入骨折部位。术后10个月实现了良好的重塑和骨愈合。在那个阶段，功能结果令人满意。
