Department of Orthopedics and Traumatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.
Department of Physical Therapy and Rehabilitation, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.
J Invest Surg. 2022 Mar;35(3):693-696. doi: 10.1080/08941939.2021.1897196. Epub 2021 Mar 10.
Options for surgery for acromioclavicular (AC) joint dislocation vary considerably. This study aimed to examine the functional and radiological results of patients who were operated on using the tightrope (TR) or clavicular hook plate (CHP) technique in the treatment for AC joint dislocation. The data gathered from 35 consecutive patients who were operated on for AC joint dislocation were analyzed retrospectively in terms of their radiological and functional outcomes. Thirty-two (91.4%) of the 35 patients were male and 3 (8.6%) were female. Thirty (85.7%) patients were classified as Rockwood type 3 and 5 (14.3%) as type 5. Twenty-one patients operated on using the TR technique were categorized as group 1, and 14 patients treated with the CHP technique formed group 2. Functional results were evaluated using the Constant-Murley shoulder scoring system; no statistically significant difference was observed between type 3 and 5 AC separation ( = 0.337). The mean Constant scores of type 3 and 5 injuries were 82.96 and 88.6, respectively. A significant relationship was noted between reduction quality and functional scores ( = 0.006). Postoperative osteoarthritis was seen in 12 (57.14%) patients in group 1 and 7 (50.00%) patients in group 2. In terms of surgery duration, 50.57 minutes in group 1 and 35.71 minutes in group 2 were noted. A statistically significant difference was found between the two groups in terms of surgery duration ( < 0.05). TR and CHP techniques, which do not differ significantly in terms of their clinical results, can be used safely in the treatment of AC separation.
手术治疗肩锁关节（AC）脱位的方法多种多样。本研究旨在探讨使用线（TR）或锁骨钩板（CHP）技术治疗 AC 关节脱位的患者的功能和影像学结果。回顾性分析了 35 例连续接受 AC 关节脱位手术患者的数据，评估其影像学和功能结果。35 例患者中，32 例（91.4%）为男性，3 例（8.6%）为女性。30 例（85.7%）患者为 Rockwood 3 型，5 例（14.3%）为 5 型。21 例行 TR 技术手术的患者归入第 1 组，14 例行 CHP 技术治疗的患者归入第 2 组。采用 Constant-Murley 肩关节评分系统评估功能结果；3 型和 5 型 AC 分离之间无统计学差异（ = 0.337）。3 型和 5 型损伤的 Constant 评分分别为 82.96 和 88.6。注意到复位质量与功能评分之间存在显著关系（ = 0.006）。第 1 组 12 例（57.14%）和第 2 组 7 例（50.00%）患者术后出现骨关节炎。第 1 组手术时间为 50.57 分钟，第 2 组为 35.71 分钟。两组手术时间有统计学差异（ < 0.05）。TR 和 CHP 技术在临床结果方面没有显著差异，可以安全地用于治疗 AC 分离。
