Abstract

Aim: Sternoclavicular joint infection associated with liver cirrhosis is an uncommon condition and the optimal surgical treatment is undefined.

Highlights

  • Sternoclavicular joint (SCJ) infections represent 1% of all septic joints in the general population and less than 4% of them occur in patients with liver cirrhosis[1]

  • The liver cirrhosis has been identified as a risk factor for severe SCJ infections that significantly increases perioperative mortality[2]

  • We present our multidisciplinary experience with the staged surgical management of severe SCJ in high-risk patients, performed by the thoracic and plastic-reconstructive surgeons

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Summary

Introduction

Sternoclavicular joint (SCJ) infections represent 1% of all septic joints in the general population and less than 4% of them occur in patients with liver cirrhosis[1]. The liver cirrhosis has been identified as a risk factor for severe SCJ infections that significantly increases perioperative mortality[2]. In patients with liver insufficiency, the choice of the surgery must be adjusted to the reduced patient condition, expected higher perioperative morbidity and advanced stage of the disease. It should follow the principles of the septic surgery. We present our multidisciplinary experience with the staged surgical management of severe SCJ in high-risk patients, performed by the thoracic and plastic-reconstructive surgeons

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