Clinical effectiveness of surgical treatment with polyester tapes and temporary K-wires on complete acromioclavicular dislocation
| Autor: | Marco Bigoni, Luca Rigamonti, Giovanni Zatti, Nicolò Zanchi, Diego Gaddi, Massimo Gorla, Massimiliano Piatti, Marco Turati, Robert J. Omeljaniuk |
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| Přispěvatelé: | Bigoni, M, Piatti, M, Zanchi, N, Gorla, M, Gaddi, D, Rigamonti, L, Omeljaniuk, R, Zatti, G, Turati, M |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Osteolysis Clinical effectiveness Shoulders Radiography Polyesters Joint Dislocations Acromionclavicular joint 03 medical and health sciences Arthroscopy Young Adult 0302 clinical medicine K-wire medicine Acromioclavicular joint Humans Dislocation Orthopedics and Sports Medicine Kirschner wire Muscle Strength Range of Motion Articular Surgical Tape Surgical treatment Aged Retrospective Studies 030222 orthopedics business.industry 030229 sport sciences Middle Aged medicine.disease medicine.anatomical_structure Treatment Outcome Acromioclavicular Joint Radiological weapon Synthetic graft Surgery Female business Nuclear medicine Bone Wires Follow-Up Studies |
| Popis: | Introduction: Ideal treatment of acute acromioclavicular joint (ACJ) dislocation remains unresolved. We evaluated ACJ reconstruction using polyester tapes and temporary Kirschner wire (KW) and presented clinical and radiological outcomes. Materials and methods: Patients were retrospectively evaluated and classified according to Rockwood classification, clinical and sportive characteristics. Constant Score (CS) and ACJ joint instability (ACJI) score were collected. Zanca’s, Alexander, axillary, standard, and stress AP views were collected. Radiographic coracoclavicular distance (CCd) of healthy and injured shoulders was measured pre-operatively, at 3months and at minimum 2-year follow-up. Heterotopic ossifications and clavicular osteolysis were evaluated. Influence of patients’ characteristics and AC joint type on clinical and radiological outcomes were determined. Results: Sixteen patients (13 type V and 3 type III ACJ dislocation) reached the end of follow-up (mean 2.4years; range 22–72months). Mean CS was 99.63 (range 96–100), while the mean ACJI score was 96.19 (range 85–100). The CCd of the treated shoulder was comparable with the healthy shoulder at 3months and at last follow-up; moreover, there was no difference in CCd scores at 3months and at 2years. CCd scores were lower in sedentary patients compared with physically active (sporty) patients. Heterotopic ossifications were observed in three patients. No osteolysis was reported. Conclusion: This technique provides good results with few complications and should be considered as an effective method to treat ACJ acute dislocation. CCd scores correlate with overuse factors but not with other clinical scores. |
| Databáze: | OpenAIRE |
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