Comparative study on the treatment of Rockwood type III acute acromioclavicular dislocation: Clinical results from the TightRope ® technique vs. K-wire fixation
| Autor: | C. Garving, Hans-Christoph Pape, T. Thometzki, Philipp Lichte, Klemens Horst, Thomas Dienstknecht, Matthias Knobe, Martijn Hofman |
|---|---|
| Přispěvatelé: | University of Zurich, Horst, Klemens |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Radiography wire 610 Medicine & health Radiological evaluation 03 medical and health sciences 2732 Orthopedics and Sports Medicine Rockwood III follow 0302 clinical medicine medicine Acromioclavicular joint Orthopedics and Sports Medicine Wire fixation up 030222 orthopedics Acromioclavicular dislocation business.industry TightRope(®) technique 030229 sport sciences Early complication 2746 Surgery Surgery 10021 Department of Trauma Surgery medicine.anatomical_structure Radiological weapon Ligament business Acromioclavicular joint separation |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 103:171-176 |
| ISSN: | 1877-0568 |
| Popis: | Background and hypothesis The aim of this study was to address the inconsistency regarding the operative treatment of Rockwood type III acromioclavicular joint separation. We compared results after single- and double TightRope® reduction with results after acromioclavicular transfixation via K-wires only and additional ligament augmentation in acute acromioclavicular (AC) joint separations graded Rockwood type III, and hypothesized that the TightRope® technique leads to better clinical and radiological results. Materials and methods We conducted a retrospective clinical cohort study and included 42 consecutive patients (mean age 43 years [24–66]) diagnosed and operatively treated between 2004 and 2012 (mean follow-up was 54.6 months [15–118]). Specific shoulder scores as well as scores reflecting the patients’ overall mental and physical health status were used. Radiological evaluation was also performed. Results The SF12 test revealed comparability between all subgroups. Specific shoulder tests and a visual analogue scale demonstrated comparable results. Radiographic measurements showed a significant reduction in the AC distance and CC distance after surgery in all subgroups. The early complication rate was 9.5% for all patients, while late complications occurred in 14.3% of all cases. Conclusions Compared to the established methods, the operative TightRope® procedures represent a safe alternative in Rockwood III injuries. All investigated techniques predominantly led to good and excellent clinical results in acute Rockwood type III AC joint instabilities. Avoidance of material removal and shorter hospital stays appear to speak in favour for the TightRope® technique. Level of evidence IV. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect