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| 主要な著者: | , |
|---|---|
| フォーマット: | Recurso digital |
| 言語: | 英語 |
| 出版事項: |
Zenodo
2024
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| 主題: | |
| オンライン･アクセス: | https://doi.org/10.5281/zenodo.14590652 |
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目次:
- <p><strong>Background:</strong> Aromioclavicular (AC) joint dislocations are common injuries and compose a sizeable portion of shoulder injuries. <strong>Methods:</strong> The clinical and radiographic outcomes of 29 consecutive patients (20 men and 09 women) who underwent anatomic reduction for acute ACJ dislocation using two suture anchors for CC ligament reconstruction and two strands of non-absorbable stitches for ACJ fixation. Two 3.5 mm suture anchors with double-loaded sutures were separately inserted into the anterolateral and posteromedial portions of the coracoid process. The suture strands were passed through the hole created in the clavicle using 2.0 mm drill and tied over the clavicle. Additional ACJ augmentation using two strands of non-absorbable heavy sutures was performed in all patients. At 3, 6, and 12 months and last follow-up visit, the scores on the visual analog scale (VAS), the American Shoulder and Elbow Surgeons (ASES) score, Constant–Murley score, and simple shoulder test (SST) questionnaires were used to provide a final evaluation of shoulder function. Comparison between baseline and treatment results was performed. Radiographic analysis included vertical displacement and horizontal shift. <strong>Results:</strong> The mean preoperative, 3-month, 6-month, and 12-month follow-up evaluation ASES scores were 43.25±5.23, 75.69±6.29, 92.02±5.09, 93.25±7.29 respectively. The ASES score at 12 months postoperative was 48 higher than the preoperative ASES score (P < 0.01). There was no significant difference in ASES score between the 6- and 12- month follow-up evaluations (P > 0.05). The mean preoperative, 3-month, 6-month, and 12-month postoperative SST were 2.08±0.68, 8.12±1.21, 10.08±2.01respectively. The SST at 12 months postoperative was 10 higher than the preoperative SST (P < 0.01) between the baseline and 12-month follow-up data. No significant difference between the 6- and 12-month follow-up evaluations could be found (P > 0.05). The mean preoperative, 3-month, 6-month, and 12-month postoperative CMS were 30.18±4.26, 70.25±5.26, 88.27±3.28, respectively. The CMS at 12 months postoperative was 60 higher than the preoperative CMS (P < 0.01) between the baseline and 12-month follow-up data. No significant difference between the 6- and 12-month follow-up evaluations could be found (P > 0.05). <strong>Conclusions:</strong> CC ligament reconstruction using two suture anchors and ACJ augmentation using two strands of nonabsorbable heavy sutures on high-grade AC dislocation is a reliable technique for restoring stability to the ACJ and can obtain good to excellent clinical results.</p> <p> </p> <div> </div>