지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 209 - 214 (6page)
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초록· 키워드
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Background: The treatment for acromioclavicular joint injuries (ACJI) ranges from a conservative approach to extensive surgical reconstruction, and the decision on how to manage these injuries depends on the grade of acromioclavicular (AC) joint separation, resources, and skill availability. After a thorough review of the literature, the researchers adopted a simple cost-effective technique of AC joint reconstruction for acute ACJI requiring surgery.
Methods: This was a prospective single-center study conducted between April 2017 and April 2018. For patients with acute ACJI more than Rockwood grade 3, the researchers performed open coracoclavicular ligament reconstruction using synthetic sutures along with an Endobutton and a figure of 8 button plate. This was followed by AC ligament repair augmenting it with temporary percutaneous AC K-wires. Clinical outcomes were evaluated using the Constant Murley shoulder score.
Results: Seventeen patients underwent surgery. The immediate postoperative radiograph showed an anatomical reduction of the AC joint dislocation in all patients. During follow-up, one patient developed subluxation but was asymptomatic. The mean follow-up period was 30 months (range, 24–35 months). The mean Constant score at 24 months was 95. No AC joint degeneration was noted in follow-up X-rays. The follow-up X-rays showed significant infra-clavicular calcification in 11 of the 17 patients, which was an evidence of a healed coracoclavicular ligament post-surgery.
Conclusions: This study presents a simple cost-effective technique with a short learning curve for anatomic reconstruction of acute ACJI. The preliminary results have been very encouraging.
Methods: This was a prospective single-center study conducted between April 2017 and April 2018. For patients with acute ACJI more than Rockwood grade 3, the researchers performed open coracoclavicular ligament reconstruction using synthetic sutures along with an Endobutton and a figure of 8 button plate. This was followed by AC ligament repair augmenting it with temporary percutaneous AC K-wires. Clinical outcomes were evaluated using the Constant Murley shoulder score.
Results: Seventeen patients underwent surgery. The immediate postoperative radiograph showed an anatomical reduction of the AC joint dislocation in all patients. During follow-up, one patient developed subluxation but was asymptomatic. The mean follow-up period was 30 months (range, 24–35 months). The mean Constant score at 24 months was 95. No AC joint degeneration was noted in follow-up X-rays. The follow-up X-rays showed significant infra-clavicular calcification in 11 of the 17 patients, which was an evidence of a healed coracoclavicular ligament post-surgery.
Conclusions: This study presents a simple cost-effective technique with a short learning curve for anatomic reconstruction of acute ACJI. The preliminary results have been very encouraging.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
Chillemi C / 2013 / Epidemiology of isolated acromioclavicular joint dislocation / Emerg Med Int 2013:171609
Folwaczny EK / 2000 / The Balser plate with ligament suture : a dependable method of stabilizing the acromioclavicular joint / Unfallchirurg 103:731~740
Faraj AA / 2001 / The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases / Acta Orthop Belg 67:448~451
Zanca P. / 1971 / Shoulder pain: involvement of the acromioclavicular joint. (Analysis of 1,000 cases) / Am J Roentgenol Radium Ther Nucl Med 112:493~506
Constant CR / 1987 / A clinical method of functional assessment of the shoulder / Clin Orthop Relat Res (214):160~164
Folwaczny EK / 2000 / The Balser plate with ligament suture : a dependable method of stabilizing the acromioclavicular joint / Unfallchirurg 103:731~740
Faraj AA / 2001 / The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases / Acta Orthop Belg 67:448~451
Zanca P. / 1971 / Shoulder pain: involvement of the acromioclavicular joint. (Analysis of 1,000 cases) / Am J Roentgenol Radium Ther Nucl Med 112:493~506
Constant CR / 1987 / A clinical method of functional assessment of the shoulder / Clin Orthop Relat Res (214):160~164
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UCI(KEPA) : I410-ECN-0101-2022-514-000047473