Modified closed-loop double-endobutton technique for repair of rockwood type III acromioclavicular dislocation
| Autor: | Lei Zhang, Shijie Fu, Shaoqun Zhang, Ruiyue Ping, Xin Zhou, Ji Qi, Gang Liu, Zeng Yan, Yi-Kai Li |
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| Rok vydání: | 2017 |
| Předmět: |
Cancer Research
medicine.medical_specialty Pathology Rockwood classification acromioclavicular joint Biology Surgical methods 03 medical and health sciences 0302 clinical medicine Immunology and Microbiology (miscellaneous) medicine Acromioclavicular joint Rockwood type III Fixation (histology) 030222 orthopedics closed-loop dislocation Acromioclavicular dislocation 030229 sport sciences General Medicine Articles double-endobutton Surgery medicine.anatomical_structure Hook plate Closed loop Early rehabilitation |
| Zdroj: | Experimental and Therapeutic Medicine |
| ISSN: | 1792-0981 |
| Popis: | Acromioclavicular dislocation (ACD) is a common injury. According to the Rockwood classification, ACD is classified into six types (type I–VI); however, for type III injuries, it remains controversial whether or not operative treatment should be applied. Numerous studies have advocated early surgical treatment to ensure early rehabilitation activities. Thus, the present study aimed to investigate a modified closed-loop double-endobutton technique (MCDT), that may be used to repair Rockwood type III ACD. In the current study, 61 patients with Rockwood type III ACD were enrolled during a period of 5 years at the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University. Patients were divided into three groups according to the surgical method used, the MCDT group (n=20), the common closed-loop double-endobutton technique (CCDT) group (n=21), and the clavicular hook plate fixation (CHPF) group (n=20). Preoperative and intraoperative information were recorded. Furthermore, the functional scores of injured shoulder were evaluated prior to surgery and following surgery with a 1-year follow-up. Among the three groups, postoperative functional scores were significantly more improved compared with those prior to surgery (P0.05). Postoperative functional scores in the MCDT and CCDT groups were significantly more improved compared those in the CHPF group (P |
| Databáze: | OpenAIRE |
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