Younis Fizan, Ajwani Sanil, Bibi Asia, Riley Eleanor, Hughes Peter J
The Royal Blackburn Hospital, East Lancashire NHS Trust, Haslingden Road, Blackburn Trauma and Orthopaedics Department.
Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston Trauma and Orthopaedics Department.
Ortop Traumatol Rehabil. 2017 Dec 30;19(6):523-530. doi: 10.5604/01.3001.0010.8043.
Acromioclavicular joint dislocations are common shoulder girdle injuries. The treatment of grade III acromioclavicular joint dislocations is controversial. Furthermore, the literature on the use of the Sur-giligTM synthetic ligament for reconstruction of dislocations is sparse.
This retrospective review aimed to establish whether operative treatment was superior to non-operative treatment in grade III acromioclavicular joint dislocations treated at our institute over a 5-year period. We also reviewed the effectiveness of reconstruction with SurgiligTM after acute and chronic dislocations across all grades of acromioclavicular joint dislocations.
Twenty-five patients completed full follow-up with grade III dislocations. The mean follow-up in the operated group was 3.56 years and in the non-operated group this was 3.29 years. The mean Oxford Shoul-der Score (OSS) in the operated group was 39.8, whereas the mean OSS in the non-operated group was 45.9 (p=0.01). The mean pain score in the operated group was 2.2, and in the non-operated group this was 1.6. The mean satisfaction score in the operated group was 8.2 and that in the non-operated group was 7.8. There was no statistically significant difference in pain or satisfaction scores. In respect to the cohort treated with Surg-iligTM synthetic ligament, 22 patients across all grades of dislocations had this procedure performed. The mean post-operative Oxford Shoulder Score (OSS) was 40.
肩锁关节脱位是常见的肩胛带损伤。III度肩锁关节脱位的治疗存在争议。此外，关于使用Sur-giligTM合成韧带重建脱位的文献较少。
本回顾性研究旨在确定在我院接受治疗的III度肩锁关节脱位患者中，手术治疗是否优于非手术治疗，为期5年。我们还回顾了在所有等级的肩锁关节脱位的急性和慢性脱位后使用Sur-giligTM进行重建的有效性。
25例III度脱位患者完成了完整随访。手术组的平均随访时间为3.56年，非手术组为3.29年。手术组的平均牛津肩部评分（OSS）为39.8，而非手术组的平均OSS为45.9（p=0.01）。手术组的平均疼痛评分为2.2，非手术组为1.6。手术组的平均满意度评分为8.2，非手术组为7.8。疼痛或满意度评分无统计学显著差异。对于接受Sur-giligTM合成韧带治疗的队列，所有等级脱位的22例患者接受了该手术。术后平均牛津肩部评分（OSS）为40。
