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使用腘绳肌和尸体腓骨皮质同种异体移植物进行胸锁关节重建:病例报告

Sternoclavicular Joint Reconstruction Using a Hamstring and Cadaveric Fibular Cortical Allograft: A Case Report.

作者信息

Gaetano Andrew, Boubekri Amir, Chen Andrew, Garbis Nickolas, Salazar Dane

机构信息

Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois.

Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, Illinois.

出版信息

JBJS Case Connect. 2025 Jan 16;15(1). doi: 10.2106/JBJS.CC.24.00398. eCollection 2025 Jan 1.

Abstract

CASE

A 49-year-old woman with sternoclavicular insufficiency following medial clavicle resection underwent sternoclavicular joint reconstruction using a hamstring allograft and a cadaveric fibular cortical allograft. After 4 months of follow-up, the patient was pain-free, with radiographic evidence of graft incorporation by 8 months.

CONCLUSION

Medial clavicle resection is a rare procedure with broad indications. The necessity and optimal technique for subsequent sternoclavicular reconstruction remain debated. We demonstrate a figure-of-eight reconstructive technique that may provide acceptable clinical results when addressing large medial clavicle defects.

LEVEL OF EVIDENCE

IV.

摘要

病例

一名49岁女性,在进行内侧锁骨切除术后出现胸锁关节功能不全,采用腘绳肌同种异体移植物和尸体腓骨皮质同种异体移植物进行胸锁关节重建。随访4个月后,患者无疼痛,8个月时影像学显示移植物融合。

结论

内侧锁骨切除术是一种罕见的手术,适应证广泛。后续胸锁关节重建的必要性和最佳技术仍存在争议。我们展示了一种8字形重建技术,在处理较大的内侧锁骨缺损时可能提供可接受的临床结果。

证据等级

四级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/fbe8ed9b877e/jbjscc-15-e24.00398-g001.jpg

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