Sternoclavicular joint allograft reconstruction using the sternal docking technique
| Autor: | Yaser M. K. Baghdadi, Joaquin Sanchez-Sotelo, Ngoc Tram V Nguyen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Clavicle resection Visual analogue scale business.industry Sternoclavicular joint Arthritis 030229 sport sciences Osteoarthritis medicine.disease Article Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Clavicle medicine business human activities |
| Zdroj: | JSES Open Access. 2:190-193 |
| ISSN: | 2468-6026 |
| Popis: | Background The sternoclavicular joint may become unstable as a result of trauma or medial clavicle resection for arthritis. Allograft reconstruction with the figure-of-8 configuration is commonly used. This study was conducted to determine the outcome of sternoclavicular joint reconstruction using an alternative graft configuration. Methods Between 2005 and 2013, 19 sternoclavicular joint reconstructions were performed using a semitendinous allograft in a sternal docking configuration. The median age at surgery was 44 years (range, 15-79 years). Indications included instability in 16 (anterior, 13; posterior, 3) or medial clavicle resection for osteoarthritis in 3. The median follow-up time was 3 years (range, 1-9 years). Results Two reconstructions (10.5%) underwent revision surgery, 1 additional patient had occasional subjective instability, and the remaining 16 (84%) were considered stable. Sternoclavicular joint reconstruction led to improved pain (visual analog scale for pain subsided from 5 to 1 point, P Conclusion Reconstruction of the sternoclavicular joint with a semitendinous allograft in a sternal docking fashion restores stability in most patients requiring surgery for instability of the sternoclavicular joint or medial clavicle resection for osteoarthritis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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