Tossy Ⅲ acromioclavicular joint dislocation treated with two anchors to reconstruct coracoclavicular ligament

doi:10.3969/j.issn.2095-4344.0229

Abstract

Abstract:

BACKGROUND: How to reconstruct the rostral clavicular ligament to make it more suitable for the biomechanical characteristics of acromioclavicular joint and do not need to remove the internal fixator is a problem that scholars have been thinking about.

OBJECTIVE: To explore the clinical effect of two anchors to reconstruct coracoclavicular ligament in treatment of Tossy Ⅲ acromioclavicular joint dislocation.

METHODS: Eighteen patients with Tossy Ⅲ acromioclavicular joint dislocation were treated with two anchors to reconstruct coracoclavicular ligament from January 2012 to July 2016. All patients were followed up for 1 year. Acromioclavicular clavicle end gap was measured using X-ray films before treatment, 1 week, 2 months and 1 year after treatment. Shoulder joint function was evaluated by the Neer scoring system before treatment and 1 year after treatment.

RESULTS AND CONCLUSION: (1) Acromioclavicular clavicle end gap significantly reduced between the preoperation and 1 week after surgery (P < 0.05). Acromioclavicular clavicle end gap significantly enlarged between 1 week and 2 months after surgery (P < 0.05). There was not statistically significant difference in the gap between 2 months after surgery and 1 year after surgery (P > 0.05). There was not statistically significant difference in the gap between injured and uninjured sides 2 months after surgery (P > 0.05). There was not statistically significant difference in the gap between injured and uninjured sides 1 year after surgery (P > 0.05). (2) Neer scores significantly increased 1 year after surgery compared with that before surgery (P < 0.05). (3) These findings confirmed that coracoclavicular ligament reconstruction using two 5 mm-diameter anchors in treatment of Tossy Ⅲ acromioclavicular joint dislocation can obtain satisfactory effect.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Acromioclavicular Joint, Shoulder Dislocation, Internal Fixators, Tissue Engineering

CLC Number:

R318

Han Bing, Zhang Chuan-kai, Liu Hong-bin, Sun Yi-yan, Zhao Ri-guang, Wang He-hong, Wang Ying . Tossy Ⅲ acromioclavicular joint dislocation treated with two anchors to reconstruct coracoclavicular ligament[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(23): 3615-3620.

Figures/Tables 3

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