CASE REPORTS
JOURNAL ARTICLE
Add like
Add dislike
Add to saved papers

Salvage reconstruction of congenital pseudarthrosis of the clavicle with vascularized fibular graft after failed operative treatment: a case report.

UNLABELLED: Congenital pseudarthrosis of the clavicle is a rare condition present at birth but often diagnosed later in childhood. Indications for surgical treatment include deformity, pain, or neurovascular compromise. Reconstruction usually involves resection of the pseudarthrosis, placement of iliac crest bone graft, and internal fixation. We report a case of congenital pseudarthrosis of the clavicle that failed initial surgical management at another institution using bone marrow aspirate, bone graft substitute, and internal fixation with plate and screws. Treatment failure was associated with significant osteolysis resulting in a large defect of the midclavicle with only small areas of residual bone remaining at the medial and lateral ends, and the remaining hardware was mobile. The defect was judged to be too large for placement of an iliac crest bone graft and was therefore spanned with a free vascularized fibular graft. At 15 months postoperatively, the patient has clinical and radiographic unions, and is symptom-free with an excellent cosmetic result. This unique application of a well-established technique provided a successful solution to this difficult revision situation.

LEVEL OF EVIDENCE: Level V, case report.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app