Akut tip III akromiyoklaviküler eklem çıkıklarında perkütan çift düğme tespit yöntemi ile tedavisi

Öz

Amaç: Akut akromiyoklaviküler (AC) eklem çıkıklarında perkütan çift düğme tekniği kullanılarak tedavi edilen hastaların fonksiyonel ve radyolojik sonuçlarını değerlendirdik.

Çalışma planı: Akut tip III AC eklem çıkığı tanısı ile peruktan çift-düğme tespit yöntemi ile ameliyat edilen 13 hasta retrospektif olarak incelendi. Hastaların radyolojik değerlendirilmesinde son kontrolde çekilen ön arka grafide etkilen taraftaki korakoklavikular (KK) mesafe ile sağlam taraf arasındaki mesafeler karşılaştırıldı. Fonksiyonel değerlendirmede Constant, Disability of Arm, ShoulderandHand (DASH)ve visual analog scale(VAS) skorları kullanıldı.

Bulgular: Çalışmaya alınan on üç hastanın 12’si erkek, biri kadın ve ortalama yaşları 43.4 yıldı (aralık: 22–60 yıl). Hastaların ortalama takip süreleri 13.61 aydı (aralık: 9–24 ay). Ameliyat edilen taraftaki KK mesafe ortalama 9.23 (aralık 8–15) karşı tarafla karşılaştırıldığında istatiksel olarak fark yoktu. Preoperatif Constant skorları ortalama 30.3’ten (aralık 18–42) son kontrolde 84.4’e (aralık 70–90) yükseldi. Preoperatif DASH skorları ortalama 14.1’den (aralık: 11–28) son kontrolde 0.4’e (aralık 0–3) indi (p<0.001). Preoperatif VAS skorları ortalama 6.0’dan (aralık 5–8) son kontrolde 0.6’ya (aralık 0–3) indi (p<0.001).

Çıkarımlar: Akut tip III AC eklem çıkıklarında perkütan çift düğme tespit yöntemi artroskopik ve açık yöntemlere alternatif olabilecek güvenli, pratik ve etkili bir tespit yöntemidir.

 

 

DOI: 10.3944/AOTT.2015.14.0230

Bu özet, makalenin henüz redaksiyonu tamamlanmamış haline aittir ve bilgi verme amaçlıdır. Yayın aşamasında değişiklik gösterebilir.

Anahtar Kelimeler

• Akromiyoklaviküler eklem; çift düğmeli fiksasyon; perkütan.

Percutaneous double-button fixation method for treatment of acute type III acromioclavicular joint dislocation

Öz

Objective: The aim of this study was to evaluate the functional and radiological results of patients treated with the percutaneous double-button technique for acute acromioclavicular (AC) joint dislocation.
Methods: A retrospective evaluation was performed of 13 patients surgically treated for acute Type III AC joint dislocation with the percutaneous double-button fixation method. The coracoclavicular (CC) distance of the affected side was compared with that of the healthy side on anterior-posterior radiographs obtained at the final follow-up. In the functional evaluation, Disabilities of the Arm, Shoulder and Hand (DASH), Constant, and visual analog scale (VAS) scores were used.
Results: The 13 patients in the study included 12 males and 1 female with a mean age of 43.4 years (range: 22–60 years). The mean follow-up period was 13.61 months (range: 9–24 months). The mean CC distance on the operated side was 9.23 mm (range: 8–15 mm), and when compared with the healthy side, no statistically significant difference was observed. Preoperative Constant scores of a mean of 30.3 (range: 18–42) increased to 84.4 (range: 70–90) at the final follow-up. Preoperative DASH scores had a mean of 14.1 (range: 11–28) and decreased to 0.4 (range: 0–3) at the final followup (p<0.001). Mean preoperative VAS score was 6.0 (range: 5–8), which decreased to 0.6 (range: 0–3) at the final follow-up (p<0.001).
Conclusion: The percutaneous double-button fixation technique is a safe, practical, and effective fixation method that can be used as an alternative to arthroscopic and open methods for acute Type III AC joint dislocations.

Anahtar Kelimeler

• Acromioclavicular joint
• dislocation
• double-button fixation
• percutaneous

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