Traitement des luxations acromioclaviculaires type III selon Rockwood : TightRope® versus brochage. Une étude comparée - 30/03/17
Comparative study on the treatment of Rockwood type III acute acromioclavicular dislocation: Clinical results from the TightRope® technique vs K-wire fixation
, C. Garving b, T. Thometzki a, P. Lichte a, M. Knobe a, T. Dienstknecht a, M. Hofman a, H.-C. Pape aAbstract |
Background and hypothesis |
The aim of this study was to address the inconsistency regarding the operative treatment of Rockwood type III acromioclavicular joint separation. We compared results after single and double TightRope® reduction with results after acromioclavicular transfixation via K-wires only and additional ligament augmentation in acute acromioclavicular (AC) joint separations graded Rockwood type III, and hypothesized that the TightRope® technique leads to better clinical and radiological results.
Patients & methods |
We conducted a retrospective clinical cohort study and included 42 consecutive patients (mean age 43 years [24–66]) diagnosed and operatively treated between 2004 and 2012 (mean follow up was 54.6 months [15–118]). Specific shoulder scores as well as scores reflecting the patients’ overall mental and physical health status were used. Radiological evaluation was also performed.
Results |
The SF12 test revealed comparability between all subgroups. Specific shoulder tests and a visual analogue scale demonstrated comparable results. Radiographic measurements showed a significant reduction in the AC distance and CC distance after surgery in all subgroups. The early complication rate was 9.5 % for all patients while late complications occurred in 14.3 % of all cases.
Conclusions |
Compared to the established methods, the operative TightRope® procedures represent a safe alternative in Rockwood III injuries. All investigated techniques predominantly led to good and excellent clinical results in acute Rockwood type III AC joint instabilities. Avoidance of material removal and shorter hospital stays appear to speak in favour for the TightRope® technique.
Level of evidence |
IV.
Le texte complet de cet article est disponible en PDF.Keywords : TightRope® technique, K-wire, Acromioclavicular joint separation, Rockwood III follow-up, Radiological evaluation
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 103 - N° 2
P. 122 - avril 2017 Retour au numéro
Article précédent
- Comportement biomécanique des refixations de tubérosité dans les arthroplasties pour fracture proximale de l’humérus
- J. Fleischer, A. Schleyer, R. Nassutt, U. Grittner, I. Ojodu, S. Jörg Hopp
- Facteurs pronostiques de récupération des paralysies radiales dans les fractures diaphysaires humérales : à propos de 17 cas
- N. Nachef, V. Bariatinsky, S. Sulimovic, C. Fontaine, C. Chantelot
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?