Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym University, Anyang, Republic of Korea.
Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Republic of Korea.
Biomed Res Int. 2017;2017:4859262. doi: 10.1155/2017/4859262. Epub 2017 Aug 2.
Among coracoclavicular (CC) fixation techniques, the use of flip button device was demonstrated to have successful outcomes with the advantage of being able to accommodate an arthroscopic procedure.
This study was conducted to investigate the factors associated with loss of fixation after arthroscopically assisted CC fixation using a single flip button device for acromioclavicular (AC) joint dislocations.
We enrolled a total of 47 patients (35 men and 12 women). Plain radiography was performed at a mean of 24 months postoperatively to evaluate the final radiological outcome. The primary outcome measure was a long-term reduction of the AC joint for at least 24 months.
We found that 29 patients had a high quality reduction (61.7%) and 18 patients had a low quality reduction (38.3%) in initial postoperative CT findings. Our study showed that the duration (5 days) from injury to treatment and the quality of initial postoperative reduction were significantly associated with the maintenance of reduction at final follow-up.
Our study showed that maintaining stable reduction after arthroscopically assisted CC fixation using a single flip button device technique is difficult especially in patients who received delayed treatment or whose initial reduction quality was poor.
在喙锁（CC）固定技术中，使用翻转按钮装置已被证明具有成功的结果，其优点是能够适应关节镜手术。
本研究旨在探讨使用单翻转按钮装置辅助关节镜固定肩锁关节（AC）脱位后固定丢失的相关因素。
我们共纳入 47 例患者（35 名男性和 12 名女性）。术后平均 24 个月行 X 线平片检查，以评估最终影像学结果。主要观察指标为至少 24 个月的 AC 关节持续降低。
我们发现，29 例患者在初始术后 CT 发现中有高质量的复位（61.7%），18 例患者有低质量的复位（38.3%）。我们的研究表明，从受伤到治疗的时间（5 天）和初始术后复位的质量与最终随访时的复位维持显著相关。
我们的研究表明，使用单翻转按钮装置技术辅助关节镜 CC 固定后，维持稳定的复位是困难的，尤其是在接受延迟治疗或初始复位质量较差的患者中。
