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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

Authors :
Shan-Wei Yang
Jenn-Huei Renn
Kai-Cheng Lin
Ying-Cheng Huang
Chun-Yu Chen
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

Details

ISSN :
1749799X
Volume :
13
Database :
OpenAIRE
Journal :
Journal of Orthopaedic Surgery and Research
Accession number :
edsair.doi.dedup.....44cc3600af47a6f8ddfe5dfd4253d8bd