Department of Surgical Pediatrics, Children's Hospital, University of Bern, Freiburgstrasse, 3010 Berne, Switzerland.
Department of Surgical Pediatrics, Children's Hospital, University of Bern, Freiburgstrasse, 3010 Berne, Switzerland.
J Plast Reconstr Aesthet Surg. 2014 Dec;67(12):1735-9. doi: 10.1016/j.bjps.2014.08.050. Epub 2014 Aug 27.
Clavicle reconstruction is a rare operation. In most cases a mid-shaft defect of the clavicle is bridged by using different grafting techniques or musculo-osteous flaps. In some clinical situations where reconstruction is not a suitable option claviculectomy as a salvation procedure has proven to be an acceptable solution. In the paediatric population the challenge of both the cosmetic and the functional result attempting reconstruction of large bone defects is of higher demand. To our knowledge, this is the first case of a successful clavicle reconstruction with a sufficient follow-up using a free vascularised fibula graft in a child. This case provides a technique description, considerations in the paediatric population, an overview of other techniques used, and a long-term follow-up.
锁骨重建是一种罕见的手术。在大多数情况下，通过使用不同的移植物技术或肌骨皮瓣来桥接锁骨中段缺损。在一些不适合重建的临床情况下，锁骨切除术作为一种挽救性手术已被证明是一种可接受的解决方案。在儿科人群中，既要考虑美容效果，又要考虑功能结果，尝试重建大的骨缺损的要求更高。据我们所知，这是首例使用游离血管化腓骨移植成功重建儿童锁骨的病例，且有足够的随访。本病例提供了技术描述、儿科人群中的注意事项、其他技术的概述以及长期随访。
