Modified Double-Endobutton technique combined with Nice knot in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation.
10.12200/j.issn.1003-0034.2020.08.003
- Author:
Zhong-Xing MA
1
;
Yin-Hua DU
1
;
Dong WU
1
Author Information
1. Zhangjiagang Sixth People's Hospital, Suzhou 215600, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Acromioclavicular joint;
Internal fixators;
Ligaments;
Shoulder dislocation
- MeSH:
Acromioclavicular Joint;
Adult;
Female;
Humans;
Joint Dislocations;
Ligaments, Articular;
Male;
Middle Aged;
Shoulder Dislocation;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2020;33(8):703-706
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical effect of the modified double Endobutton technique combined with Nice node in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation.
METHODS:From March 2016 to January 2019, 23 patients with Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation were treated with modified double Endobutton technique to reconstruct coracoclavicular ligament and Nice node to repair acromioclavicular ligament, including 18 males and 5 females, aged 31 to 53 (43.2±5.4) years, 9 on the left and 14 on the right, and the time from injury to operation was 1 to 10 days. Before operation, X-ray films and CT three-dimensional reconstruction of bilateral shoulder joint were performed. Postoperative complications were observed. Six months after operation, DASHand Constant-Murley scores were used to evaluate the treatment effect.
RESULTS:The incision healed in one stage after operation, and no complications such as vascular and nerve injury and stress fracture occurred. All patients were followed up for 6 to 24 (12.0±4.9) months. At 6 months follow-up, the DASH score was 0.40±0.10 lower than that of 19.80±4.50 before operation, and the Constant-Murley score was 94.20±4.20 higher than that of 38.60±3.90 before operation.
CONCLUSION:The treatment of Rockwood Ⅲ-Ⅴ dislocation of acromioclavicular joint with double Endobutton technique and nice knot is satisfactory in the early stage. The long-term effect and complications need further follow-up.
