Early clinical results of minimally invasive coracoclavicular ligament reconstruction can be maintained at a minimum of five years' follow-up
| Autor: | Michael J. Raschke, Steffen B. Rosslenbroich, Oliver Riesenbeck, Wolf Petersen, Jan Christoph Katthagen, Clemens Koesters, Katharina Heimann, Benedikt Schliemann |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine Acromioclavicular joint Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine Coracoclavicular ligament Aged Ultrasonography business.industry Shoulder Dislocation Follow up studies Recovery of Function Middle Aged Plastic Surgery Procedures Surgery medicine.anatomical_structure Acromioclavicular Joint Ligaments Articular Female business Follow-Up Studies |
| Zdroj: | The bonejoint journal. (7) |
| ISSN: | 2049-4408 |
| Popis: | AimsThere is a lack of long-term data for minimally invasive acromioclavicular (AC) joint repair. Furthermore, it is not clear if good early clinical results can be maintained over time. The purpose of this study was to report long-term results of minimally invasive AC joint reconstruction (MINAR) and compare it to corresponding short-term data.MethodsWe assessed patients with a follow-up of at least five years after minimally invasive flip-button repair for high-grade AC joint dislocation. The clinical outcome was evaluated using the Constant score and a questionnaire. Ultrasound determined the coracoclavicular (CC) distance. Results of the current follow-up were compared to the short-term results of the same cohort.ResultsA total of 50 patients (three females, 47 males) were successfully followed up for a minimum of five years. The mean follow-up was 7.7 years (63 months to 132 months). The overall Constant score was 94.4 points (54 to 100) versus 97.7 points (83 to 100) for the contralateral side showing a significant difference for the operated shoulder (p = 0.013) The mean difference in the CC distance between the operated and the contralateral shoulder was 3.7 mm (0.2 to 7.8; p = 0.010). In total, 16% (n = 8) of patients showed recurrent instability. All these cases were performed within the first 16 months after introduction of this technique. A total of 84% (n = 42) of the patients were able to return to their previous occupations and sport activities. Comparison of short-term and long-term results revealed no significant difference for the Constant Score (p = 0.348) and the CC distance (p = 0.974).ConclusionThe clinical outcome of MINAR is good to excellent after long-term follow-up and no significant differences were found compared to short-term results. We therefore suggest this is a reliable technique for surgical treatment of high-grade AC joint dislocation. Cite this article: Bone Joint J 2020;102-B(7):918–924. |
| Databáze: | OpenAIRE |
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