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2014 | 10 | 1 |
Tytuł artykułu

Complete acromioclavicular joint dislocation treated with reconstructed ligament by trapezius muscle fascia and observation of fascial metaplasia

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EN
Abstrakty
EN
We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated by reconstruction of the acromioclavicular and coracoclavicular ligament using trapezius muscle fascia. Open reduction and internal fixation was performed using the clavicular hook plate in 12 patients with acute complete acromioclavicular joint dislocation, and the acromioclavicular and coracoclavicular ligaments were reconstructed using trapezius muscle fascia. Radiographic evaluations were conducted postoperatively. We evaluated the functional results with constant scoring system and radiological results at the final follow-up visit. The mean Constant score at the final follow-up visit was 91.67 (range, 81 to 100). The results were excellent in eight patients (66.7%) and good in four patients (33.3%). Three patients with scores from 80 to 90 had mild pain during activity, but this did not affect the range of motion of the shoulder. All patients have returned to their preoperative work without any limitations. Compared with the contralateral side, radiography showed anatomical reposition in the vertical plane in all cases. The hook-plate fixation with ligament reconstruction was successful in treating AC dislocations. The acromioclavicular and coracoclavicular ligament were reconstructed by trapezius muscle fascia that keep the distal clavicle stable both vertically and horizontally after type III injuries.
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Wydawca

Czasopismo
Rocznik
Tom
10
Numer
1
Opis fizyczny
Daty
wydano
2015-01-01
otrzymano
2015-07-11
zaakceptowano
2015-09-15
online
2015-12-17
Twórcy
  • Medical College of Qingdao University, Qingdao, Shandong, 266003, China Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, Tel: 86- 634-6278397, lwwcl2003@163.com
autor
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, lwwcl2003@163.com
  • Medical College of Qingdao University, Qingdao, Shandong, 266003, China, lwwcl2003@163.com
autor
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, lwwcl2003@163.com
autor
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, lwwcl2003@163.com
autor
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, lwwcl2003@163.com
autor
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, lwwcl2003@163.com
Bibliografia
  • [1] Tossy J.D., Mead N.C., Sigmond H.M., Acromioclavicular separations: useful and practical classification for treatment, Clin Orthop Relat Res 1963, 28,111-119
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  • [4] Kirkley A., Griffin S., Scoring systems for the functional assessment of the shoulder, Arthroscopy, 2003, 10,1109-1120[Crossref]
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  • [7] Chillemi C., Franceschini V., Giudici L.D., Epidemiology of isolated acromioclavicular joint dislocation, Emerg. Med. Int. 2013, 171609
  • [8] Tomlinson D.P., David W., Altchek, Davila J., et al., A modified technique of arthroscopically assisted AC joint reconstruction and preliminary results, Clinical orthopaedics and related research, 2008, 466, 639-645
  • [9] Jiang C., Wang M., Rong G., Proximally based conjoined tendon transfer for coracoclavicular reconstruction in the treatment of acromioclavicular dislocation, J. Bone Joint Surg. Am. 2007, 11, 2408-2412
  • [10] John A., Johansen P.W., Grutter E., McFarland G., et al., Acromioclavicular joint injuries, indications for treatment and treatment options, Journal of Shoulder and Elbow Surgery, 2011, 20, 70-82
  • [11] Virtanen K.J., Remes V.M., Ilkka T., Tulikoura1 A., et al., Surgical treatment of Rockwood grade-V acromioclavicular joint dislocations 50 patients followed for 15-22 years, Acta Orthopaedica, 2013, 2, 191-195[WoS]
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  • [15] Galatz L.M., Williams G.R., Acromioclavicular joint injuries In: Bucholz R.W., Heckman J.D., Brown C.C., eds. Rockwood and Green,s Fractures in Adults. ISBN: 9780781746366. Vol 2. 6nd ed, Philadelphia, LippincottWilliams & Wilkins, 2006, 1331-1364
  • [16] Mazzocca A.D., Sellards R., Garretson R., et al., Injuries to the acromioclavicular joint in adults and children, In: DeLee JC, Drez D Jr, Miller MD. DeLee & Drez’s Orthopaedic Sports Medicine: Principles and Practice. ISBN: 9780721688459, Vol 1.2nd ed, Philadelphia: Saunders, 2003, 912-934
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  • [18] Qingjun L., Miao J., Lin B., Guo Z., Clinical effect of acute complete acromioclavicular joint dislocation treated with micro-movable and anatomical acromioclavicular plate, International journal of medical sciences, 2012, 9, 725-729
  • [19] Henkel T., Oetiker R., Hackenburch W., Treatment of fresh Tossy III acromioclavicular joint dislocation by ligament suture and temporary fixation with the clavicular hooked plate, Swiss Surg., 1997, 3, 160-166
  • [20] Sim E., Schwarz N., Hocker K., et al., Repair of complete acromioclavicular separations using the acromioclavicular- hook plate, Clin. Orthop. 1995, 314, 134-142
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  • [22] Shewy M.T.E., Azizi H.E., Suture repair using loop technique in cases of acute complete acromioclavicular joint dislocation, J. Orthop. Traumatol., 2011, 1, 29-35
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_med-2015-0055
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