Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider
Abstract Backgrounds To describe a new technique for implanting a double-bundle titanium cable to treat acromioclavicular (AC) joint dislocation via the new guider, and evaluate clinic outcomes. Methods A retrospective study of patients treated for acute high-grade acromioclavicular joint dislocatio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-021-02442-1 |
| _version_ | 1818039889822744576 |
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| author | Jun Wang Yongfeng Cui Yuhang Zhang Hang Yin |
| author_facet | Jun Wang Yongfeng Cui Yuhang Zhang Hang Yin |
| author_sort | Jun Wang |
| collection | DOAJ |
| description | Abstract Backgrounds To describe a new technique for implanting a double-bundle titanium cable to treat acromioclavicular (AC) joint dislocation via the new guider, and evaluate clinic outcomes. Methods A retrospective study of patients treated for acute high-grade acromioclavicular joint dislocation from June 2016 to January 2020 in our trauma center, twenty patients with AC joint dislocation were managed with double-bundle titanium cable. It includes the following steps: (1) Put the guider under the coracoid close to the cortical; (2) drill proximal clavicle; (3) place the titanium cable; (4) perforate distal clavicle, (5) reset the acromioclavicular joint and lock titanium cable; and (6) suture the acromioclavicular ligament. An independent reviewer conducted functional testing of these patients, including the use of coracoclavicular distance (CCD), visual analog scale (VAS) scores, and Constant–Murley scores (CMS). Results All patients are presented following at a median duration of 15 months (12-24months) after the surgery. All patients based on X-ray evaluation and clinic evaluation. The median CCD was 7.5 (6–14) mm, the VAS score was 0.55 (0-2), the CMS score was 95.5 (92-99). One patient had subluxation again at the final follow-up based on X-ray examination. Conclusions This study demonstrates that the AC joint fixation anatomically with double-bundle titanium, acquired excellent outcomes in terms of the recovery of shoulder joint function and radiographic outcomes. It has a low complication rate and need not remove the hardware. |
| first_indexed | 2024-12-10T08:05:49Z |
| format | Article |
| id | doaj.art-b36da88311184980980cc3e941abca6f |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-12-10T08:05:49Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b36da88311184980980cc3e941abca6f2022-12-22T01:56:41ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-04-011611910.1186/s13018-021-02442-1Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guiderJun Wang0Yongfeng Cui1Yuhang Zhang2Hang Yin3Department of Orthopedic, Xiaoshan First People’s Hospital, Xiaoshan Affiliated Hospital of Wenzhou Medical UniversityDepartment of Orthopedic, Xiaoshan First People’s Hospital, Xiaoshan Affiliated Hospital of Wenzhou Medical UniversityDepartment of Orthopedic, Xiaoshan First People’s Hospital, Xiaoshan Affiliated Hospital of Wenzhou Medical UniversityDepartment of Orthopedic, Xiaoshan First People’s Hospital, Xiaoshan Affiliated Hospital of Wenzhou Medical UniversityAbstract Backgrounds To describe a new technique for implanting a double-bundle titanium cable to treat acromioclavicular (AC) joint dislocation via the new guider, and evaluate clinic outcomes. Methods A retrospective study of patients treated for acute high-grade acromioclavicular joint dislocation from June 2016 to January 2020 in our trauma center, twenty patients with AC joint dislocation were managed with double-bundle titanium cable. It includes the following steps: (1) Put the guider under the coracoid close to the cortical; (2) drill proximal clavicle; (3) place the titanium cable; (4) perforate distal clavicle, (5) reset the acromioclavicular joint and lock titanium cable; and (6) suture the acromioclavicular ligament. An independent reviewer conducted functional testing of these patients, including the use of coracoclavicular distance (CCD), visual analog scale (VAS) scores, and Constant–Murley scores (CMS). Results All patients are presented following at a median duration of 15 months (12-24months) after the surgery. All patients based on X-ray evaluation and clinic evaluation. The median CCD was 7.5 (6–14) mm, the VAS score was 0.55 (0-2), the CMS score was 95.5 (92-99). One patient had subluxation again at the final follow-up based on X-ray examination. Conclusions This study demonstrates that the AC joint fixation anatomically with double-bundle titanium, acquired excellent outcomes in terms of the recovery of shoulder joint function and radiographic outcomes. It has a low complication rate and need not remove the hardware.https://doi.org/10.1186/s13018-021-02442-1AcromioclavicularDislocationGuideTechniqueRockwood |
| spellingShingle | Jun Wang Yongfeng Cui Yuhang Zhang Hang Yin Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider Journal of Orthopaedic Surgery and Research Acromioclavicular Dislocation Guide Technique Rockwood |
| title | Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider |
| title_full | Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider |
| title_fullStr | Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider |
| title_full_unstemmed | Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider |
| title_short | Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider |
| title_sort | acute high grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider |
| topic | Acromioclavicular Dislocation Guide Technique Rockwood |
| url | https://doi.org/10.1186/s13018-021-02442-1 |
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