Truly anatomic double Endobutton reconstruction of coracoclavicular ligament for acute acromioclavicular joint dislocation of Rockwood type Ⅴ
10.3760/cma.j.issn.1671-7600.2019.01.006
- VernacularTitle:双束Endobutton完全解剖重建喙锁韧带治疗Rockwood Ⅴ型新鲜肩锁关节脱位
- Author:
Jiahu FANG
1
;
Cheng XUE
;
Lijun SONG
;
Hao ZHANG
;
Guolong TANG
;
Xiang LI
Author Information
1. 南京医科大学第一附属医院骨科 210029
- Keywords:
Acromioclavicular joint;
Dislocations;
Ligaments;
Truly anatomical reconstruction
- From:
Chinese Journal of Orthopaedic Trauma
2019;21(1):34-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic efficacy of truly anatomic reconstruction of the coracoclavicular ligament with two Endobutton devices for acute acromioclavicular joint dislocation of Rock-wood type Ⅴ.Methods From May 2013 to October 2015,25 patients with acromioclavicular joint dislocation of Rockwood type Ⅴ underwent truly anatomic reconstruction of the coracoclavicular ligament using two Endobutton devices.They were 15 men and 10 women,from 18 to 67 years of age (mean,43.0 years).All the dislocations were unilateral,involving 14 left and 11 right sides.The visual analog scale (VAS) and the Constant scoring were used at 3,6,12,18 and 24 months postoperatively for assessments of pain and shoulder function.The coracoclavicular distances on the healthy and affected sides were measured on their anteroposterior X-ray films of bilateral shoulders.Results The 25 patients were followed up for 24 to 48 months (mean,34.0 months).Their VAS score were decreased significantly from preoperative 5.0 ± 0.9 points to 0 ±0.5 points at 24 months after surgery,their Constant score increased significantly from preoperative 45.0 ± 5.6 points to 95.0 ± 2.9 points at 24 months after surgery,and their coracoclavicular distances at the affected side restored significantly from preoperative 23.0± 5.4 mm to 8.0 ± 0.9 mm at 24 months after surgery (all P ＜ 0.05).There was no significant difference in the coracoclavicular distance between the affected and the healthy sides at 24 months after surgery (P ＞ 0.05).No serious complications like acromioclavicular joint re-dislocation or clavicular condylar fracture occurred in any patient.Conclusions Truly anatomic double Endobutton reconstruction of the coracoclavicular ligament is a safe,reliable and creative surgical technique that may yield good to excellent clinical and radiological outcomes in the treatment of acute acromioclavicular joint dislocation of Rockwood type Ⅴ.
