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Single coracoclavicular suture fixation with Mersilene tape versus hook plate in the treatment of acute type V acromioclavicular dislocation: a retrospective analysis
- Source :
- Journal of Orthopaedic Surgery and Research, Vol 13, Iss 1, Pp 1-9 (2018), Journal of Orthopaedic Surgery and Research
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Background Here, we compared the clinical and radiographic outcomes between coracoclavicular (CC) fixation with Mersilene tape and hook plate for acute unstable acromioclavicular (AC) joint dislocation treatment. Methods We enrolled 49 patients with unstable acute AC dislocation who, between January 2010 and January 2014, underwent surgery with single CC suture fixation with Mersilene tape (M group, 25 cases) or clavicle hook plate (H group, 24 cases). In M and H groups, the average age was 43.7 (range 18–72) and 42.0 (range 17–84) years, the male to female ratio of each group was 15:20 and 19:5, and the injured side left to right ratio was 12:13 and 11:13, respectively. All patients were right-handed. We retrospectively compared the operation time, complication rate, visual analog scale (VAS), University of California at Los Angeles (UCLA) shoulder rating scale, Oxford shoulder scores, and the radiographic outcomes based on reduction loss of CC distance on postoperative follow-up. Results No significant difference in patient demographics between the two groups in age (p = 0.709), gender (p = 0.217), time from injury to surgery (p = 0.863), and injured side (p = 1.000). The mean follow-up was 26.2 months (range 24–35 months). Nine cases of reduction loss (36%) and one of distal clavicle osteolysis (4%) were noted in the M group. CC distance improvement in the H group was significantly superior to that in the M group at 3 months (before hook plate removal, p
- Subjects :
- Male
lcsh:Diseases of the musculoskeletal system
Radiography
Joint Dislocations
Suture fixation
0302 clinical medicine
lcsh:Orthopedic surgery
Medicine
Orthopedics and Sports Medicine
Joint dislocation
Surgical Tape
Aged, 80 and over
030222 orthopedics
Polyethylene Terephthalates
Middle Aged
Loop suspensory fixation
Acromioclavicular dislocation
Mersilene tape
Scapula
Treatment Outcome
Acromioclavicular Joint
Acute type
Acute Disease
Female
Bone Plates
Research Article
Adult
medicine.medical_specialty
Adolescent
Visual analogue scale
Young Adult
03 medical and health sciences
Humans
Coracoclavicular fixation
Aged
Retrospective Studies
business.industry
Suture Techniques
Hook plate
030229 sport sciences
Surgical Mesh
medicine.disease
Clavicle
Surgery
lcsh:RD701-811
Orthopedic surgery
lcsh:RC925-935
business
Subjects
Details
- ISSN :
- 1749799X
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery and Research
- Accession number :
- edsair.doi.dedup.....44cc3600af47a6f8ddfe5dfd4253d8bd