Original Article
Therapeutic effects of partial clavicle resection on osteomyelitis of the clavicle
Shen Siqi, Xiao Peng, Wu Xuejian, Zhang Yuhang, Cheng Long, Jiang Shichuan
Published 2020-04-10
Cite as Chin J Pract Med, 2020, 47(7): 22-25. DOI: 10.3760/cma.j.cn115689-20191118-08378
Abstract
ObjectiveTo investigate the clinical efficacy of partial clavicle resection on osteomyelitis of the clavicle.
MethodsThe clinical data from 42 adult patients with osteomyelitis of the clavicle admitted to the First Affiliated Hospital of Zhengzhou University from February 2016 to February 2019 were retrospectively analyzed. According to the treatment methods, patients were divided into two groups: open group (21 patients, only treated by partial clavicle resection) and reconstruction group (21 patients, treated by clavicle reconstruction with autologous ilium bone). The shoulder function was evaluated before and 6 months after surgery according to the Constant-Murley Shoulder Scale and the rating scales of American Shoulder and Elbow Surgeons (ASES).
ResultsForty-two patients were followed up for 6 to 24 (12.0 ± 3.5) months. No patient had complications such as wound infection or vascular nerve injury. During follow-up at 6 months after treatment, the Constant-Murley shoulder score and the ASES score were (82.81±3.70)% and (83.10±3.82)% respectively in the open group, and (83.14±5.15)% and (82.33±4.35)% in the reconstructed group. There was no significant difference in shoulder function between the two surgical procedures (P=0.811, 0.550).
ConclusionsCompared with the reconstruction procedure, partial clavicle resection has no significant difference in shoulder function 6 months after treatment, which is an effective treatment method for osteomyelitis of the clavicle.
Key words:
Clavicle; Osteomyelitis; Surgery; Shoulder joint function
Contributor Information
Shen Siqi
Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Xiao Peng
Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Wu Xuejian
Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhang Yuhang
Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Cheng Long
Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Jiang Shichuan
Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
