Reconstruction of the clavicle in the pseudarthrosis after radiation therapy
- Authors: Zelyanin A.S.1, Sokov A.A.2, Khanin M.Y.2, Klyuchevskii I.V.2, Sakharov A.A.2, Kovalenko D.S.2, Gusev A.A.2
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Affiliations:
- The I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
- The Main Clinical Military Hospital of the FSB of Russia
- Issue: Vol 343, No 4 (2022)
- Pages: 27-32
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/629713
- DOI: https://doi.org/10.52424/00269050_2022_343_4_27
- ID: 629713
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Abstract
The paper presents a clinical case of reconstruction of the clavicle with an atrophic pseudarthrosis in a 39-year-old patient who had a highly differentiated liposarcoma at the stage of fracture treatment. The treatment was combined with a course of gamma therapy in a total focal dose of 60 Gy. Remission has been achieved. Reconstruction was performed against the background of fibro-atrophic changes, grade 2 skin, and subcutaneous tissue lesions, grade 2–3 bone tissue according to the LENT/SOMA scale. To eliminate the clavicle defect, support osteogenesis, and cover the clavicle in the area of fibro-atrophic changes in soft tissues, the reconstruction was performed using a vascularized musculoskeletal complex of tissues rotated on a feeding pedicle. Fusion has been achieved, and the limb function was restored. The discussion provides a rationale for using a vascularized complex of tissues based on ideas about pathological changes in tissues in the area of local radiation exposure.
About the authors
A. S. Zelyanin
The I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Author for correspondence.
Email: microsurgery@inbox.ru
доктор медицинских наук
Russian Federation, MoscowA. A. Sokov
The Main Clinical Military Hospital of the FSB of Russia
Email: sasha-sokov@mail.ru
Russian Federation, Golitsyno, Moscow Region
M. Yu. Khanin
The Main Clinical Military Hospital of the FSB of Russia
Email: microsurgery@inbox.ru
кандидат медицинских наук
Russian Federation, Golitsyno, Moscow RegionI. V. Klyuchevskii
The Main Clinical Military Hospital of the FSB of Russia
Email: microsurgery@inbox.ru
Russian Federation, Golitsyno, Moscow Region
A. A. Sakharov
The Main Clinical Military Hospital of the FSB of Russia
Email: microsurgery@inbox.ru
Russian Federation, Golitsyno, Moscow Region
D. S. Kovalenko
The Main Clinical Military Hospital of the FSB of Russia
Email: microsurgery@inbox.ru
Russian Federation, Golitsyno, Moscow Region
A. A. Gusev
The Main Clinical Military Hospital of the FSB of Russia
Email: microsurgery@inbox.ru
Russian Federation, Golitsyno, Moscow Region
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Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).