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Beitragstitel Novel surgical treatment of an excessive medial clavicle resection
Autoren
  1. Marko Nabergoj Valdoltra Orthopaedic Hospital Vortragender
  2. Alexandre Lädermann Hôptital de la Tour
  3. Sidi Wang Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland; Department of Orthopaedics and Trauma Surgery, University of Geneva, Geneva, Switzerland.
Präsentationsform Poster
Themengebiete
  • A01 - Schulter/Ellbogen
Abstract Medial clavicle excision is a rarely indicated procedure performed in different pathologies affecting the proximal part of the clavicle. Excessive medial clavicle resection with an injury to the costoclavicular ligament often leads to poor postoperative results. The exact surgical treatment that should be used in this kind of pathology when conservative treatment is unsuccessful remains questionable. Our preferred surgical treatment of this condition is to fix an autograft from the iliac crest on the medial end of the clavicle with a plate. Stabilization of the newly reconstructed medial part of the sterno-clavicular joint is performed with a gracilis allograft shuttled through the medial part of the autograft and the lateral sternal part of the sterno-clavicular joint in a figure-of-eight configuration. The final costoclavicular stabilization reconstructing the costoclavicular ligament is performed with the high-strength sutures passing through the first rib and around the plate fixed on the remnant of the medial clavicle and multiple knots are performed on the superior surface. The end result is an anatomic reconstruction of the sterno-clavicular joint. Further long-term studies should show, whether the proposed surgical reconstruction and stabilization adequately restores normal shoulder mechanics and function, in the setting of symptomatic excessive medial clavicle resection.
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