Minimally invasive treatment of acromioclavicular joint dislocation with Tight Rope by modified technique bare-handed
10.3969/j.issn.1000-6710.2024.01.002
- VernacularTitle:改良徒手法锁扣带袢钛板微创手术治疗肩锁关节脱位
- Author:
Wei WU
1
;
Xiaofeng LIU
Author Information
1. 无锡市中医医院骨伤科(江苏无锡 214028)
- Keywords:
acromioclavicular joint dislocation;
modified technique;
bare-handed;
Tight Rope
- From:
Chinese Journal of Sports Medicine
2024;43(1):11-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method and the clinical effect of minimally invasive treating ac-romioclavicular joint dislocation by modified technique bare-handed Tight Rope.Methods A retrospec-tive analysis was performed on 61 cases of acromioclavicular joint dislocation(35 males and 26 fe-males,aged 45.6±5.2 years),treated with minimally invasive internal fixation by modified technique bare-handed Tight Rope between June 2018 and November 2021 in our hospital.According to Tossy classification,21 of them were Tossy Ⅱ and 40 were Tossy Ⅲ.The clinical effect was evaluated by Karlsson criteria,and the shoulder function was assessed by using the Oxford shoulder joint and Con-stant-Murley scores.Results All patients were followed up 9～12 months(11.2 months on the average).Sixty of them were restored without re-dislocation,reaching 60 of excellence and an excellence rate of 98.36％.At the last follow-up,the Constant-Murley and Oxford shoulder joint scores were 95.65±2.32 and 12.92±0.81,both significantly better than before surgery(P<0.01),with the satisfaction rate of 96.74％.Conclusion The treatment of acromioclavicular joint dislocation with modified technique bare-handed Tight Rope is minimally invasive,stable,not easy to relocate,and friendly to acromiocla-vicular joint and subacromial structure.Moreover,the shoulder joint function is well-recovered after the surgery with satisfactory effect.
