Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort
Context: The best technique to achieve the optimum functional outcome in acute acromioclavicular (AC) injuries in young, active patients continues to be a matter of debate. Aims: The aim of this study is to evaluate the functional outcome of a minimally invasive technique for acute AC dislocation in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Marine Medical Society |
| Subjects: | |
| Online Access: | http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2020;volume=22;issue=2;spage=196;epage=201;aulast=Mishra |
| _version_ | 1818675645677305856 |
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| author | Anil Kumar Mishra Vyom Sharma Amit Chaudhry |
| author_facet | Anil Kumar Mishra Vyom Sharma Amit Chaudhry |
| author_sort | Anil Kumar Mishra |
| collection | DOAJ |
| description | Context: The best technique to achieve the optimum functional outcome in acute acromioclavicular (AC) injuries in young, active patients continues to be a matter of debate. Aims: The aim of this study is to evaluate the functional outcome of a minimally invasive technique for acute AC dislocation in military soldiers. Settings and Design: The study design involves prospective study from 2012 to 2016 at a tertiary care Military Orthopaedic center. Materials and Methods: Patients with an acute Rockwood Type III, IV, and V AC injury were included polytrauma, injury older than 2 weeks or requiring an open reduction, ipsilateral limb, and neurological injuries were excluded from the study. All patients underwent minimally invasive, percutaneous reduction and fixation with a suture anchor–metallic button construct. Patients were followed up at 6, 12, 24 weeks, 1 year, and 2 years postoperatively for radiological and functional assessment (Constant score). Statistical Analysis: Using analytical tests in SPSS software for comparison of coracoclavicular (CC) distance on the injured and healthy sides. Results: There were 25 male soldiers and cadets with a mean age of 24.5 ± 5.5 years. The mean follow-up duration was 37.9 ± 6.26 weeks. Twenty-four (96%) patients achieved pain-free, overhead shoulder abduction at 24 weeks follow-up with a mean constant score of 88.4 ± 7.43. The mean constant score at the last follow-up was 94.5 ± 5.67. Twenty-three (92%) patients had a well reduced AC joint; mean CC distance on the affected side was 9.1 ± 1.2 mm, comparable to mean distance of 8.9 ± 1.4 mm on the healthy side without any evidence of sclerosis or osteolysis till the last follow-up, while one patient had a recurrent dislocation. Conclusions: Suture anchor metallic button construct is a simple, surgeon friendly technique for young, high-demand patients to restore AC biomechanics in a minimally invasive manner. |
| first_indexed | 2024-12-17T08:30:53Z |
| format | Article |
| id | doaj.art-ede6aceb1fcc427287715207bbb43da1 |
| institution | Directory Open Access Journal |
| issn | 0975-3605 |
| language | English |
| last_indexed | 2024-12-17T08:30:53Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Marine Medical Society |
| spelling | doaj.art-ede6aceb1fcc427287715207bbb43da12022-12-21T21:56:37ZengWolters Kluwer Medknow PublicationsJournal of Marine Medical Society0975-36052020-01-0122219620110.4103/jmms.jmms_78_19Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohortAnil Kumar MishraVyom SharmaAmit ChaudhryContext: The best technique to achieve the optimum functional outcome in acute acromioclavicular (AC) injuries in young, active patients continues to be a matter of debate. Aims: The aim of this study is to evaluate the functional outcome of a minimally invasive technique for acute AC dislocation in military soldiers. Settings and Design: The study design involves prospective study from 2012 to 2016 at a tertiary care Military Orthopaedic center. Materials and Methods: Patients with an acute Rockwood Type III, IV, and V AC injury were included polytrauma, injury older than 2 weeks or requiring an open reduction, ipsilateral limb, and neurological injuries were excluded from the study. All patients underwent minimally invasive, percutaneous reduction and fixation with a suture anchor–metallic button construct. Patients were followed up at 6, 12, 24 weeks, 1 year, and 2 years postoperatively for radiological and functional assessment (Constant score). Statistical Analysis: Using analytical tests in SPSS software for comparison of coracoclavicular (CC) distance on the injured and healthy sides. Results: There were 25 male soldiers and cadets with a mean age of 24.5 ± 5.5 years. The mean follow-up duration was 37.9 ± 6.26 weeks. Twenty-four (96%) patients achieved pain-free, overhead shoulder abduction at 24 weeks follow-up with a mean constant score of 88.4 ± 7.43. The mean constant score at the last follow-up was 94.5 ± 5.67. Twenty-three (92%) patients had a well reduced AC joint; mean CC distance on the affected side was 9.1 ± 1.2 mm, comparable to mean distance of 8.9 ± 1.4 mm on the healthy side without any evidence of sclerosis or osteolysis till the last follow-up, while one patient had a recurrent dislocation. Conclusions: Suture anchor metallic button construct is a simple, surgeon friendly technique for young, high-demand patients to restore AC biomechanics in a minimally invasive manner.http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2020;volume=22;issue=2;spage=196;epage=201;aulast=Mishraacromioclavicular injuryminimally invasivesoldiersuture anchor |
| spellingShingle | Anil Kumar Mishra Vyom Sharma Amit Chaudhry Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort Journal of Marine Medical Society acromioclavicular injury minimally invasive soldier suture anchor |
| title | Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort |
| title_full | Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort |
| title_fullStr | Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort |
| title_full_unstemmed | Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort |
| title_short | Minimally invasive suture anchor – metallic button construct for acute acromioclavicular dislocations: A functional outcome pilot study in military cohort |
| title_sort | minimally invasive suture anchor metallic button construct for acute acromioclavicular dislocations a functional outcome pilot study in military cohort |
| topic | acromioclavicular injury minimally invasive soldier suture anchor |
| url | http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2020;volume=22;issue=2;spage=196;epage=201;aulast=Mishra |
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