계명대학교 의학도서관 Repository

Importance of additional temporary pin fixation combined coracolavicular augmentation using a suture button device for acute acromioclavicular joint dislaction

Metadata Downloads
Affiliated Author(s)
조철현
Alternative Author(s)
Cho, Chul Hyun
Journal Title
Archives of Orthopaedic and Trauma Surgery.
ISSN
0936-8051
Issued Date
2016
Keyword
Acromioclavicular jointDislocationCoracoclavicular ligamentAcromioclavicular transfixationTightRopeTM
Abstract
Introduction We evaluated the outcomes of coracoclavicular
(CC) augmentation using a suture button device with
additional temporary pin fixation for acute acromioclavicular
(AC) joint dislocation.
Materials and methods Thirty-six consecutive cases who
underwent CC augmentation using TightRopeTM (Arthrex,
Naples, FL, USA) were included. We temporarily fixed
trans-articular pins in the first 10 cases (TA group) and a
trans-spine pin in the next 26 cases (TS group). The radiological
and clinical outcomes were evaluated at minimum
2 years postoperatively.
Results The mean follow-up period was 56.7 months
(range, 24–84 months). At the final follow-up evaluation,
reduction status showed anatomical reduction in 25 cases
(69.4 %), slight loss of reduction in seven cases (19.4 %),
partial loss of reduction in two cases (5.6 %), and total loss
of reduction in two cases (5.6 %). The mean ASES score,
UCLA score, and subjective shoulder value were 92.3,
32.9, and 91.6 %, respectively. There were no significant
differences between the two groups with respect to the
outcomes. Intraoperative complications occurred in three
cases (8.3 %) including two cases of failed reduction and
one case of technical failure of the implant. Postoperative
complications occurred in three cases (8.3 %) including
one case of pin tract infection and distal clavicle fracture at
the clavicle-hole, one case of reduction loss by severe
subsidence of the clavicular button, and one case of
shoulder stiffness.
Conclusions CC augmentation using a suture button
device with temporary pin fixation yielded satisfactory
radiological and clinical outcomes. These results support
that temporary pin fixation for the AC joint may help to
protect the AC reduction in the early phase of healing and
rigid scar formation when performing CC fixation using a
suture button device.
Level of evidence Level-IV, Retrospective Case Series,
Treatment Study.
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
Chul-Hyun Cho et al. (2016). Importance of additional temporary pin fixation combined coracolavicular augmentation using a suture button device for acute acromioclavicular joint dislaction. Archives of Orthopaedic and Trauma Surgery., 136(6), 763–770. doi: 10.1007/s00402-016-2437-5
Type
Article
ISSN
0936-8051
DOI
10.1007/s00402-016-2437-5
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33217
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.