title: [Use of a pediculed pectoralis major flap for the treatment of septic arthritis of the sternoclavicular joint].
abstract: OBJECTIVE
  Closure of the wound defect with a pedicled pectoralis major muscular flap after successful surgical treatment of septic arthritis of the sternoclavicular joint (SCJ).
  
  
  METHODS
  Defect of the thoracic wall after septic arthritis of the SCJ.
  
  
  METHODS
  Persistent infection of bony or soft tissue structures; persistent septicemia; persistent mediastinitis.
  
  
  METHODS
  After successful treatment of the local infection and radical debridement of the wound, the incision is expanded parallel to the clavicle and to the sternum. The neurovascular pedicled pectoralis flap is mobilized and a resection of the muscular attachment at the humerus is performed. Finally, the flap is rotated at the pedicle and attached to the defect zone.
  
  
  METHODS
  Anticoagulation with low molecular weight heparin and possibly aspirin (100 mg/day); short-term immobilization of the involved upper extremity. Avoidance of major weight bearing for a period of 6 weeks.
  
  
  RESULTS
  Over a period of 4 years, 18 patients suffering from septic arthritis of the SCJ underwent surgical treatment. Of these, 9 patients were treated with pedicled muscular flap. In all patients, uneventful wound healing was observed with no further revision operations being required. The functional and optical results were satisfactory.
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Siloah-St. Trudpert Klinkum, Wilferdinger Str. 67, 75179, Pforzheim, Deutschland, b.schmidt-rohlfing@siloah.de.
authors.forename: B
authors.initials: B
authors.lastname: Schmidt-Rohlfing
authors.forename: V
authors.initials: V
authors.lastname: Haas
authors.forename: M
authors.initials: M
authors.lastname: Vodopianov
authors.forename: O
authors.initials: O
authors.lastname: Kuhtin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001170:Arthritis, Infectious / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013247:Sternoclavicular Joint / Q000601:surgery*; D013524:Surgical Flaps / Q000637:transplantation*; D016896:Treatment Outcome; D055815:Young Adult