Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 25358
USE OF LOCKING COMPRESSION PLATE (LCP) FOR THE TREATMENT OF
CONGENITAL PSEUDOARTHROSIS OF THE CLAVICLE IN CHILDREN
Ziming ZHANG, Qixun CAI, xuan YANG
Department of Pediatric Orthopaedics, Xinhua Hospital, Shanghai Jiaotong
University School of Medicine, Shanghai (CHINA)
Congenital pseudoarthrosis of the clavicle (CPC) is a rare deformity in children.
There is still controversy on the selection of nonoperative or operative treatment. The
indication for surgery in most patients is the unsightly appearance of the shoulder.
The authors used locking compression plate (LCP) as the internal fixation for
congenital pseudoarthrosis of the clavicle in 2 childrens, in which a bilateral case was
included. Allografting procedure was performed simultaneously in all operations.
Computed tomography was used to assess the lesion. Pathological changes were
also evaluated in all 3 resected pseudoarthrosis specimens. Both patients healed
without any complications. Histological results showed the cartilaginous caps and
hyperplastic fibrocartilage. Although operative treatment with LCP needs a second
procedure to remove the internal fixation, a successful healing of the pseudoarthrosis
and the improved appearance of the shoulder were guaranteed. The authors
considered LCP was an ideal choice of internal fixation for operative treatment in
CPC.
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