Treatment of traumatic anterior sternoclavicular joint dislocation with Fastin anchors

VernacularTitle:Fastin骨锚固定治疗创伤性胸锁关节前脱位的初步疗效分析
Author: Zihui ZHOU ; Wei GAO ; Qiugen WANG
Publication Type:Journal Article
Keywords: Sternoclavieular joint; Suture anchors; Wounds and injuries; Dislocation
From: Chinese Journal of Orthopaedic Trauma 2010;12(1):40-42
CountryChina
Language:Chinese
Abstract: Objective To discuss the treatment of traumatic anterior sternoclavicular joint disloca-tion with Fastin anchors. Methods A retrospective analysis was done for 14 patients with traumatic anterior sternoclavicular joint dislocation who had been treated with Fastin anchors from March 2006 to April 2008. They were 9 males and 5 females, with an average age of 35 years (range, 21 to 46 years) . Their diagnoses were confirmed by X-ray and CT scan. After reduction and temporary Kirschner wire fixation of the sternoclavicular joint, the anchor was driven into the manubrium sterni, with the suture at the end of the anchor securely knotted after passing through the internal extremity of clavicle. The Kirschner wire was re-moved after 3 weeks. Results All the patients were followed up for 12 to 22 months (average, 17 months). The results were excellent in 11, good in 3 according to Rockwood scale. There was no loss of re-duction or implant loosening. Conclusion Fastin anchor can fix the sternoclavicular joint reliably, avoiding potential risk of Kirschner wire migration and ensuring fine functional recovery of the joint.