@article{article_636164, title={A Comparison of the Modified Bosworth and Endobutton Techniques in the Surgical Treatment of Rockwood Type III Acromioclavicular Joint Dislocations}, journal={Anatolian Clinic the Journal of Medical Sciences}, volume={25}, pages={33–38}, year={2020}, DOI={10.21673/anadoluklin.636164}, author={Karaduman, Zekeriya Okan and Orhan, Zafer and Turhan, Yalçın and Arıcan, Mehmet and Değirmenci, Erdem and Turhal, Ozan}, keywords={Acromioclavicular dislocation,Endobutton technique,modified Bosworth technique}, abstract={<p class="MsoNormal" style="margin-top:6pt;margin-right:0cm;margin-bottom:6pt;margin-left:0cm;text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.1pt;" xml:lang="en-us">Aim: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.1pt;" xml:lang="en-us">In this </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.1pt;" xml:lang="en-us"> study </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.1pt;" xml:lang="en-us">, we aimed to retrospectively </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.1pt;" xml:lang="en-us"> compare the long-term clinical and radiological </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">outcomes obtained with the modified Bosworth technique
and Endobutton technique in surgical treatment of type III acromioclavicular
dislocations </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">. </span> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin-top:6pt;margin-right:0cm;margin-bottom:6pt;margin-left:0cm;text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Materials and Methods: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Thirty-two patients (26 males, 6 females) (mean age 37,
range 15–78 years) were treated surgically for acromioclavicular joint (ACJ)
dislocation. All patients had type III dislocation. Twenty-two patients had
right ACJ dislocation and 10 patients had left ACJ dislocation. Of the dislocations,
18 occurred due to falls; 9, sports injuries; and 5, traffic accidents. Of the
patients, 18 were operated on with the Endobutton technique and 14 with the
modified Endobutton technique. Patients were evaluated postoperatively in terms
of </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.05pt;" xml:lang="en-us">functional Constant, DASH </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.05pt;" xml:lang="en-us">, </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.05pt;" xml:lang="en-us"> and VAS scores and radiologically </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.05pt;" xml:lang="en-us">with coracoclavicular </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;letter-spacing:-.05pt;" xml:lang="en-us"> distance </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> (CCD) assessment. The mean follow-up was 52 (37 </span> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">– </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">66)
months. </span> </p> <p> </p> <p class="MsoNormal" style="margin-top:6pt;margin-right:0cm;margin-bottom:6pt;margin-left:0cm;text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Results: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> The alignment of the acromioclavicular joint was normal in all
patients. No joint degeneration was observed in any patient. Shoulder movements
were painless and complete in all patients. The mean postoperative 3 <sup>rd </sup>,
12 <sup>th </sup>, and 24 </span> <sup> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">th </span> </sup> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> month Constant scores were found significantly higher
for the Endobutton group than for the modified Bosworth group (p=0.001). The
mean postoperative 3 <sup>rd </sup>, 12 <sup>th </sup>, and 24 </span> <sup> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">th </span> </sup> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> month DASH scores
were significa}, number={1}, publisher={Hayat Sağlık ve Sosyal Hizmetler Vakfı}