{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:44:58Z","timestamp":1756460698877,"version":"3.37.3"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"5","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2020,9,15]]},"abstract":"<jats:p>Background Sternoclavicular joint (SCJ) osteomyelitis is a rare pathology requiring urgent intervention. Several operative approaches have been described with conflicting reports. Here, we present a multi-institutional study utilizing multiple surgical pathways for SCJ reconstruction.Methods A multi-institutional retrospective cohort study was conducted to identify patients who underwent surgical repair for sternoclavicular osteomyelitis between 2008 and 2019. Patients were stratified according to reconstruction approach: single-stage reconstruction with advancement flap and delayed-reconstruction with flap following initial debridement. Demographics, operative approach, type of reconstruction, and postoperative outcomes were analyzed.Results Thirty-two patients were identified. Mean patient age was 56.2\u00b113.8 years and 68.8% were male. The average body mass index (BMI) was 30.0\u00b18.8 kg\/m&lt;sup&gt;2&lt;\/sup&gt;. The most common infection etiologies were intravenous drug use and bacteremia (both 25%). Fourteen patients (43.8%) underwent one-stage reconstruction and 18 (56.2%) underwent delayed twostaged reconstruction. Both single and delayed-stage groups had comparable rates of reinfection (7.1% vs. 11.1%, respectively), surgical site complications (21.4% vs. 27.8%), readmissions (7.1% vs. 16.6%), and reoperations (7.1% vs. 5.6%; all P&gt;0.05). The single-stage reconstruction group had a significantly lower BMI (26.2\u00b15.7 kg\/m&lt;sup&gt;2&lt;\/sup&gt; vs. 32.9\u00b19.1 kg\/m&lt;sup&gt;2&lt;\/sup&gt;; P&lt;0.05) and trended towards shorter hospital length of stay (11.3 days vs. 17.9 days; P=0.01).Conclusions Both single and delayed-stage approaches are appropriate methods with comparable outcomes for reconstruction for SCJ osteomyelitis. When clinically indicated, a single-stage reconstruction approach may be preferable in order to avoid a second operation as associated with the delayed phase, and possibly shortening total hospital length of stay.<\/jats:p>","DOI":"10.5999\/aps.2020.00717","type":"journal-article","created":{"date-parts":[[2020,9,20]],"date-time":"2020-09-20T23:36:22Z","timestamp":1600644982000},"page":"460-466","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A multi-institutional analysis of sternoclavicular joint coverage following osteomyelitis"],"prefix":"10.1055","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8814-1048","authenticated-orcid":true,"given":"Sammy","family":"Othman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2076-0026","authenticated-orcid":true,"given":"Omar","family":"Elfanagely","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2263-4149","authenticated-orcid":true,"given":"Sa\u00efd C.","family":"Azoury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9844-3544","authenticated-orcid":true,"given":"Geoffrey M.","family":"Kozak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5247-3553","authenticated-orcid":true,"given":"Jessica","family":"Cunning","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0867-1920","authenticated-orcid":true,"given":"Arturo 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P.","family":"Jenkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1031-4463","authenticated-orcid":true,"given":"Doraid","family":"Jarrar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0308-5607","authenticated-orcid":true,"given":"Stephen J.","family":"Kovach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3373-1016","authenticated-orcid":true,"given":"John 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