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KMID : 0364020080410060799
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 6 p.799 ~ p.802
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Pectoral Advancement Flap for the Treatment of Sternoclavicular Joint Infection
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Bae Chi-Hoon
Park Ki-Sung
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Abstract
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Infection occurs very rarely in the sternoclavicular joint compared to other joints in the body. It occurs mainly in IV drug abusers, diabetics, chronic renal failure patients, septic patients and those with central vein catheters. In the early phase, it can be treated simply by antibiotics or incision, and drainage. However, when proper treatment is not begun early, bone destruction can occur, and only en-bloc resection of the involved bone can cure it. To reduce the risk of recurrence, we advanced a pectoralis major flap into the resected area based on the feeding artery. We report a case of a patient with sternoclavicular osteomyelitis who was successfully treated using en-bloc resection and a pectoral advancement flap.
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KEYWORD
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Infection, Sternoclavicular joint, Surgical flap
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