Die Klavikulaosteitis. Mittelfristige Ergebnisse der operativen Therapie von 34 Patienten

Translated title of the contribution: Osteitis of the clavicle. Midterm results of 34 surgically treated patients

R. Oheim*, J. Gille, R. Schoop, M. Borree, A. P. Schulz, U. J. Gerlach

*Corresponding author for this work

Abstract

Aim: Osteitis of the clavicle is a rare but challenging disease. In this prospective study, the results of surgically treated patients (evidence level IV) are reported. Method: From 1995-2010, 34 patients [15 women, 19 men; average body mass index 25.5 kg/m2, average age 46 years, average follow-up 16.1 (range 3-53) months] with osteitis of the clavicle were enrolled in this case series. In addition to an aggressive surgical approach, local and systemic antibiotics were important parts of the treatment regime. Data collection included clinical examination including the Constant Murley score (CMS), laboratory findings, and radiographs for every patient pre-and postoperatively. Results: At the time of follow-up, all patients were free of infection. In 8 patients, surgical revision was required. In 22 patients, surrounding joints were involved in the infection. The average CMS showed a significant increase from 60 to 84 points at follow-up. Conclusion: The presented follow-up study shows encouraging results with high infection elimination rates and good functional outcomes with an aggressive surgical approach. It is mandatory to address surrounding joints since they are often involved in the infection.

Translated title of the contributionOsteitis of the clavicle. Midterm results of 34 surgically treated patients
Original languageGerman
JournalObere Extremitat
Volume6
Issue number4
Pages (from-to)289-294
Number of pages6
ISSN1862-6599
DOIs
Publication statusPublished - 01.12.2011

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