A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Arthroscopic Coracoclavicular Ligament Reconstruction of Chronic Acromioclavicular Dislocations Using Autogenous Semitendinosus Graft: A Two-Year Follow-up Study of 58 Patients
Tekijät: Ranne JO, Kainonen TU, Lehtinen JT, Kanto KJ, Vastamäki HA, Kukkonen MK, Siitonen MT
Kustantaja: Elsevier
Julkaisuvuosi: 2020
Journal: Arthroscopy, sports medicine and rehabilitation
Tietokannassa oleva lehden nimi: Arthroscopy, sports medicine, and rehabilitation
Lehden akronyymi: Arthrosc Sports Med Rehabil
Vuosikerta: 2
Numero: 1
Aloitussivu: e7
Lopetussivu: e15
ISSN: 2666-061X
eISSN: 2666-061X
DOI: https://doi.org/10.1016/j.asmr.2019.10.003
Verkko-osoite: https://doi.org/10.1016/j.asmr.2019.10.003
Rinnakkaistallenteen osoite: http://research.utu.fi/converis/portal/Publication/52177565
Purpose
To determine the results of operatively treated chronic acromioclavicular (AC) joint dislocations after 2-year follow-up.
Methods
Fifty-eight patients with chronic acromioclavicular separations underwent arthroscopic coracoclavicular ligament reconstructions using semitendinosus autografts. Constant and Simple Shoulder Test scores were determined before and 2 years after surgery as a part of standard clinical practice. General patient satisfaction with the outcome (poor, fair, or excellent) also was assessed. In addition, for purposes of routine clinical follow-up, the coracoclavicular distance was measured from the inferior cortex of the clavicle to the superior cortex of the coracoid using anteroposterior radiographs taken 2 years after surgery. The results were compared with postoperative radiographs and changes in the distance were recorded. The clavicular drill hole was similarly measured 2 years after surgery to detect possible tunnel widening.
Results
The mean preoperative Constant score increased from a preoperative mean of 52.6 ± 16.5 to 94.7 ± 7.9 at 2 years postoperatively (P = .000). The Simple Shoulder Test score increased from a preoperative mean of 7.7 ± 1.64 to 11.8 ± 0.7 (P = .000). The mean coracoclavicular distance increased from 10.5 ± 3.4 to 12.4 ± 3.9 mm (P = .009). The diameter of the clavicular drill hole increased from 6.0 mm to a mean of 8.4 mm. Two coracoid fractures were observed, but no clavicular fractures. One patient experienced a deep infection, leading to total reconstruction failure, and 2 patients had superficial postoperative infections. Forty-five patients (85%) reported excellent subjective outcomes, and 8 (15%) reported a fair outcome.
Conclusions
The outcomes of this series of coracoclavicular ligament reconstruction were favorable and the number of serious complications was small. However, clavicular wound issues were a significant problem. Coracoclavicular ligament reconstruction is a challenging procedure, but satisfactory results can be achieved with careful patient selection and good technique.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
