String-shuttling assisted Endobutton technique for acute acromioclavicular dislocation of Rockwood type Ⅲ
10.3760/cma.j.cn115530-20210209-00078
- VernacularTitle:穿梭导线小隧道Endobutton技术治疗Rockwood Ⅲ型急性肩锁关节脱位的疗效分析
- Author:
Gunshao MA
1
;
Yuqiang LUO
;
Qin XU
Author Information
1. 江门市中心医院运动医学与足踝外科 529010
- Keywords:
Acromioclavicular joint;
Dislocation;
Ligament reconstruction;
Endobutton technique
- From:
Chinese Journal of Orthopaedic Trauma
2021;23(6):535-538
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of string-shuttling assisted Endobutton technique for acute acromioclavicular dislocation of Rockwood Type Ⅲ.Methods:From March 2018 to March 2019, 15 patients were treated at Department of Sports Medicine and Ankle & Foot, Central Hospital of Jiangmen for acute acromioclavicular dislocation of Rockwood Type Ⅲ. They were 10 men and 5 women, aged from 22 to 36 years (average, 30.6 years). The intervals from injury to surgery averaged 12.4 d (from 4 to 15 d). They were all treated by string-shuttling assisted Endobutton technique. Recorded were operation time, intraoperative blood loss, visual analogue scale (VAS) pain score and shoulder function at the final follow-up, and complications during follow-up.Results:This group was followed up for 8 to 12 months (9.8 months on average). Their operation time ranged from 85 to 115 min(101.1 min on average) and intraoperative blood loss from 50 to 100 mL (75.3 mL on average). Their VAS pain score decreased significantly from preoperative 7.0 (4.5, 8.0) to 0.0 (0.0, 1.0) at the final follow-up, and their Constant score increased significantly from preoperative 56.3±6.2 to 93.0±4.8 at the final follow-up (both P<0.05). No patient reported incision infection, peri-incision hypoesthesia, loss of reduction, breakage or loosening of implants, or fracture of the clavicle tunnel or the coracoid process. Conclusion:In the treatment of acute acromioclavicular dislocation of Rockwood Type Ⅲ, string-shuttling assisted Endobutton technique can effectively avoid such a complication as tunnel fracture, leading to fine functional recovery of the shoulder.
