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Coracoclavicular Ligament Augmentation Using Tight-Rope® for Acute Acromioclavicular Joint Dislocation - Preliminary Report -

Tight-Rope®을 이용한 급성 견봉 쇄골 관절 탈구의 치료 - 예비 보고 -

  • Kweon, Seok Hyun (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Choi, Sang Su (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Lee, Seong In (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Kim, Jeong Woo (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Kim, Kwang Mee (Department of Nursing Science, Chodang University Muan)
  • 권석현 (원광대학교 의과대학 정형외과학교실) ;
  • 최상수 (원광대학교 의과대학 정형외과학교실) ;
  • 이성인 (원광대학교 의과대학 정형외과학교실) ;
  • 김정우 (원광대학교 의과대학 정형외과학교실) ;
  • 김광미 (초당대학교 간호학교실)
  • Received : 2012.09.24
  • Accepted : 2013.11.09
  • Published : 2013.12.31

Abstract

Purpose: The purpose of this study is to analyze the results of acute acromioclavicular joint dislocation treatment with coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ (Arthrex). Materials and Methods: From October 2009 to March 2011, 30 patients with acute acromioclavicular joint dislocation underwent coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ and were followed up for at least 12 months after surgery. The radiologic results were qualified according to serial plain radiographs, and the clinical results according to University of California - Los Angeles (UCLA) Shoulder Scale, Constant score, and VAS pain score. Results: Using the UCLA scoring system, excellent results were observed in 22 cases (73%), good results in five cases (17%), fair results in two cases (7%), and a poor result in one case (3%). The average Constant score was $92.5{\pm}7.5$. According to radiologic results, anatomical reduction was achieved in 26 cases, and two cases showed a moderate loss of reduction, and two cases showed complete re-dislocation. Clinical results for patients with re-dislocation were unsatisfactory and reoperation was required. Conclusion: Coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ is a good option providing reliable functional results in patients with acute acromioclavicular joint dislocation.

Keywords

Acute acromioclavicular joint dislocation;Coracoclavicular ligament augmentation;Tight-Rope$^{(R)}$

Acknowledgement

Supported by : 원광대학교

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