Restoration of horizontal stability in complete acromioclavicular joint separations: surgical technique and preliminary results

European Journal of Medical Research

Donghua Hang¹  Kai Wu¹  Jiandong Wang¹  Chuanshun Wang¹  Haoqing Li¹ 

[1] Department of Orthopedic Surgery, Shanghai First People’s Hospital Affiliated to Shanghai Jiaotong University, 100 Haining Road, Hongkou District, Shanghai 200080, China

关键词: Reconstruction;    Horizontal stability;    Arthroscope-assisted;    Acromioclavicular ligament;    Acromioclavicular joint dislocation;   

Others  :  817799
DOI  :  10.1186/2047-783X-18-42

 received in 2013-07-23, accepted in 2013-10-30,  发布年份 2013

【 摘 要 】

Background

Our purpose was to investigate the clinical efficacy of arthroscope-assisted acromioclavicular ligament reconstruction in combination with double endobutton coracoclavicular ligament reconstruction for the treatment of complete acromioclavicular joint dislocation.

Methods

During the period from February 2010 to October 2012, ten patients with Rockwood types IV and V acromioclavicular joint dislocation were hospitalized and nine were treated with acromioclavicular ligament reconstruction combined with double endobutton of coracoclavicular ligament reconstruction. The improvement in shoulder functions was assessed using a Constant score and visual analog scale (VAS) system.

Results

The mean follow-up period was 33.6 ± 5.4 months. The mean Constant scores improved from 25.2 ± 6.6 preoperatively to 92.4 ± 6.5 postoperatively, while the mean VAS score decreased from 5.9 ± 1.4 to 1.2 ± 0.9; significant differences were observed. The final follow-up revealed that excellent outcomes were achieved in eight patients and good outcome in two patients.

Conclusion

Arthroscope-assisted acromioclavicular ligament reconstruction in combination with double endobutton of coracoclavicular ligament reconstruction is an effective approach for treatment of acute complete acromioclavicular joint dislocation.

【 授权许可】

   
2013 Li et al.; licensee BioMed Central Ltd.

【 图 表 】

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