Unité de chirurgie de la main, service d'orthopédique chirurgicale, CHU La Cavale-Blanche, boulevard Tanguy-Prigent, 29609 Brest cedex, France; Service de chirurgie de la main et du membre supérieur, CHU Lapeyronie, 371, avenue du doyen Gaston-Giraud, 34295 Montpellier cedex 5, France.
Orthop Traumatol Surg Res. 2013 Nov;99(7):859-63. doi: 10.1016/j.otsr.2013.06.004. Epub 2013 Oct 1.
The gold standard technique for treating clavicle non-union is based on cortico-cancellous bone graft harvested from the iliac crest and fixed with a plate. In cases of large clavicular defects, this surgical procedure becomes ineffective and only reconstruction using vascularized bone grafts can be considered. Nevertheless, there are few reports in the literature dealing with this procedure and surgical technique remains unclear. We expose here a technique and results of free vascularized fibular graft for two patients with large clavicular defects.
Level IV, technical note.
治疗锁骨不愈合的金标准技术是基于取自髂嵴的皮质松质骨移植物，并使用钢板固定。在锁骨大缺损的情况下，这种手术方法变得无效，只能考虑使用带血管的骨移植物进行重建。然而，文献中很少有关于这种手术的报道，手术技术仍不清楚。我们在这里介绍了一种技术，并报告了两名锁骨大缺损患者使用游离腓骨移植的结果。
IV 级，技术说明。
