Engert J, Klumpp H, Simon G
Chirurg. 1979 Oct;50(10):631-5.
Pseudarthrosis of the clavicula in childhood is rare. Beside the congenital forms, especially dysplasia of the skeleton, the cause of acquired pseudarthrosis is often the complete or partial lack of immobilization and poorly performed or not indicated osteosynthesis. Basically firm osteosynthesis with small DC-plates is the therapy indicated, but because of atrophic or short fragments, great defects, or if the relevant parts of the skeleton are too short, a compromise is often necessary, especially for the sake of strength. The autologeous spongiosaplastic, corticospongio bone parts, which strengthen the osteosynthesis procedure, if involved, are basic to undisturbed healing.
儿童锁骨假关节罕见。除先天性形式外，尤其是骨骼发育异常，后天性假关节的病因通常是完全或部分缺乏固定，以及骨合成操作不当或未进行适当的骨合成。基本上，使用小型动力加压钢板进行牢固的骨合成是推荐的治疗方法，但由于存在萎缩性或短小骨折碎片、巨大骨缺损，或者骨骼相关部位过短，通常需要做出妥协，尤其是为了保证强度。自体松质骨、皮质松质骨部分若参与其中，可增强骨合成过程，是实现顺利愈合的基础。
