Service of Pediatric Orthopedics, Children's Hospital of Geneva, University Hospitals of Geneva, Switzerland.
JBJS Case Connect. 2021 Nov 17;11(4):01709767-202112000-00057. doi: e20.00945.
Although congenital nonunion of the clavicle is a well-known pathology in children, posttraumatic nonunion is a rare entity. Nonunion after open reduction and internal fixation of a clavicle fracture is exceptional in the pediatric population. We report on a patient presenting posttraumatic pseudarthrosis of the clavicle after surgical treatment. Pseudarthrosis was resected, and the defect was bridged with an iliac crest autograft, supplemented with bone morphogenetic protein, and fixed with an elastic stable intramedullary nail.
This procedure offered enough stability for achieving fracture consolidation and is a safe alternative to plating in clavicle nonunion.
先天性锁骨不连是儿童中一种众所周知的疾病，但创伤后不连则较为罕见。儿童锁骨骨折切开复位内固定后发生不连更为少见。我们报告 1 例创伤后锁骨假关节患者，该患者曾接受手术治疗。切除假关节，取自体骼骨嵴骨移植桥接缺损，并用骨形态发生蛋白进行补充，然后采用弹性稳定髓内钉固定。
该手术为骨折愈合提供了足够的稳定性，是治疗锁骨不连的一种安全替代方案，优于钢板固定。
