Journal of Pediatric Orthopaedics. Part B vol:19 issue:2 pages:188-190
We describe an 8-year-old girl who developed a
posttraumatic pseudarthrosis of the right clavicle. Despite
the great periosteal regenerative potential in children, the
fracture did not heal at 12 months with a classic
conservative treatment. As a result of pain and functional
limitations, surgical treatment was required. Excess bone
of the hypertrophic nonunion was removed and an open
reduction and internal fixation with a compression plate
were performed. Cancellous bone chips from the iliac crest
were packed into the fracture site. Good remodelling and
consolidation was achieved 10 months after the operation.
At that stage, the functional outcome was satisfactory.