Arthroscopic fixation of acute acromioclavicular joint disruption with TightRope™: Outcome and complications after minimum 2 (2–5) years follow-up

Journal of Orthopaedic Surgery - Tập 25 Số 2 - 2017
Lifeng Zhang1, Bo Yin2, Su Hou3, Bing Han2, Defa Huang1
1Department of Pediatric Surgery, Jining No. 1 People's Hospital, Shandong, China
2Department of Bone Surgery, Zoucheng People's Hospital, Zoucheng, Shandong, China
3Department of Pediatric Surgery, Zoucheng People's Hospital, Zoucheng, Shandong, China

Tóm tắt

Purpose: To evaluate the midterm results of arthroscopic reconstruction of acute acromioclavicular (AC) joint disruption using TightRope™ system. Methods and Material: We retrospectively assess the results of 24 patients of acute AC joint dislocation who were operated using TightRope system. Constant and University of California, Los Angeles (UCLA) scores and coracoclavicular distance were calculated pre- and postoperatively. Data was entered into MS excel and analyzed using the SPSS version 17. Results: The mean follow-up was 39.45 months. Constant and UCLA scores were significantly increased postoperatively. Six patients had partial loss of reduction within 3–6 months and two patients had a failure of construct. Constant score was significantly lower in these patients. Conclusion: TightRope reconstruction of the AC joint is a reproducible and safe alternative to many other techniques of AC joint reconstruction. Early subluxation remains a concern and may reflect the need for technique modification.

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