Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation | ||
The Archives of Bone and Joint Surgery | ||
مقاله 7، دوره 7، شماره 2، خرداد و تیر 2019، صفحه 143-150 اصل مقاله (1.22 M) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2018.29951.1774 | ||
نویسندگان | ||
Alessandro Geraci* 1؛ Alberto Ricciardi1؛ Isabella Monia Montagner2؛ Dario Pilla1؛ Lawrece Camarda3؛ Antonio D’Arienzo3؛ Michele D’arienzo3 | ||
1Orthopedic Department, San Giacomo Apostolo Hospital, Castelfranco Veneto, Italy | ||
2Veneto Institute of Oncology IOV - IRCCS, Padua, Italy | ||
3Department of Orthopedic Surgery, University of Palermo (DiChirOnS), Palermo, Italy | ||
چکیده | ||
Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement. Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one, three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required. Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05). Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery. Level of evidence: III | ||
کلیدواژهها | ||
Acromionclavicular joint؛ Coracoclavicular ligament reconstruction؛ Coracoid process؛ Shoulder injury | ||
مراجع | ||
1. Headey J, Brooks JH, Kemp SP. The epidemiology of shoulder injuries in English professional rugby union. Am J Sports Med. 2007; 35(9):1537-43. 2. Fukuda K, Craig EV, An KN, Cofield RH, Chao EY. Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am. 1986; 68(3):434-40. 3. Monica J, Vredenburgh Z, Korsh J, Gatt C. Acute shoulder injuries in adults. Am Fam Physician. 2016; 94(2):119-27. 4. Riand N, Sadowski C, Hoffmeyer P. Acute acromioclavicular dislocations. Acta Orthop Belg. 1999; 65(4):393-403. 5. Spencer HT, Hsu L, Sodl J, Arianjam A, Yian EH. Radiographic failure and rates of re-operation after acromioclavicular joint reconstruction: a comparison of surgical techniques. Bone Joint J. 2016; 98- B(4):512-8. 6. Beitzel K, Obopilwe E, Apostolakos J, Cote MP, Russell RP, Charette R, et al. Rotational and translational stability of different methods for direct acromioclavicular ligament repair in anatomic acromioclavicular joint reconstruction. Am J Sports Med. 2014; 42(9):2141-8. 7. Virk MS, Apostolakos J, Cote MP, Baker B, Beitzel K, Mazzocca AD. Operative and nonoperative treatment of acromioclavicular dislocation: a critical analysis review. JBJS Rev. 2015; 3(10):1-10. 8. Yoo YS, Tsai AG, Ranawat AS, Bansal M, Fu FH, Rodosky MW, et al. A biomechanical analysis of the native coracoclavicular ligaments and their influence on a new reconstruction using a coracoid tunnel and free tendon graft. Arthroscopy. 2010; 26(9):1153-61. 9. Arirachakaran A, Boonard M, Piyapittayanun P, Phiphobmongkol V, Chaijenkij K, Kongtharvonskul J. Comparison of surgical outcomes between fixation with hook plate and loop suspensory fixation for acute unstable acromioclavicular joint dislocation: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2016; 26(6):565-74. 10. Iliadis DP, Bourlos DN, Mastrokalos DS, Chronopoulos E, Babis GC. LARS artificial ligament versus ABC purely polyester ligament for anterior cruciate ligament reconstruction. Orthop J Sports Med. 2016; 4(6):1-10. 11. Lu N, Zhu L, Ye T, Chen A, Jiang X, Zhang Z, et al. Evaluation of the coracoclavicular reconstruction using LARS artificial ligament in acute acromioclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc. 2014; 22(9):2223-7. 12. De Carli A, Lanzetti RM, Ciompi A, Lupariello D, Rota P, Ferretti A. Acromioclavicular third degree dislocation: surgical treatment in acute cases. J Orthop Surg Res. 2015; 10(1):13. 13. Bateman JE. Athletic injuries about the shoulder in throwing and body-contact sports. Clin Orthop. 1962; 23(1):75-83. 14. Bosworth BM. Complete acromioclavicular dislocation. N Engl J Med. 1949; 241(6):221-5. 15. Vascellari A, Schiavetti S, Battistella G, Rebuzzi E, Coletti N. Clinical and radiological results after coracoclavicular ligament reconstruction for type III acromioclavicular joint dislocation using three different techniques. A retrospective study. Joints. 2015; 3(2):54-61. 16. Inman VT, Saunders JB, Abbott LC. Observations of the function of the shoulder joint. 1944. Clin Orthop Relat Res. 1996; 330(1):3-12. 17. Conway AM. Movements at the sternoclavicular and acromioclavicular joints. Phys Ther Rev. 1961; 41(1):421-32. 18. Teece RM, Lunden JB, Lloyd AS, Kaiser AP, Cieminski CJ, Ludewig PM. Three-dimensional acromioclavicular joint motions during elevation of the arm. J Orthop Sports Phys Ther. 2008; 38(4):181-90. 19. Wiesel BB, Gartsman GM, Press CM, Spencer EE Jr, Morris BJ, Zuckerman JD, et al. What went wrong and what was done about it: pitfalls in the treatment of common shoulder surgery. Instr Course Lect. 2014; 63(1):85-93. 20. Aslani H, Mirzaee F, Zafarani Z, Salehi S. Modified internal fixation technique for acromio-clavicular (AC) joint dislocation: the “Hidden Knot Technique”. Arch Bone Jt Surg. 2018; 6(1):81-4. 21. Lee KW, Debski RE, Chen CH, Woo SL, Fu FH. Functional evaluation of the ligaments at the acromioclavicular joint during anteroposterior and superoinferior translation. Am J Sports Med. 1997; 25(6):858-62. 22. González-Erreguín V, Morales-Villanueva J. Surgical treatment of acute acromioclavicular dislocation. Preliminary report. Acta Ortop Mex. 2015; 29(4):203-6. 23. Fraschini G, Ciampi P, Scotti C, Ballis R, Peretti GM. Surgical treatment of chronic acromioclavicular dislocation: comparison between two surgical procedures for anatomic reconstruction. Injury. 2010; 41(11):1103-6. 24. Modi CS, Beazley J, Zywiel MG, Lawrence TM, Veillette CJ. Controversies relating to the management of acromioclavicular joint dislocations. Bone Joint J. 2013; 95-B(12):1595-602. 25. Nakazawa M, Nimura A, Mochizuki T, Koizumi M, Sato T, Akita K. The orientation and variation of the acromioclavicular ligament: an anatomic study. Am J Sports Med. 2016; 44(10):2690-5. 26. Trieb K, Blahovec H, Brand G, Sabeti M, Dominkus M, Kotz R. In vivo and in vitro cellular ingrowth into a new generation of artificial ligaments. Eur Surg Res. 2004; 36(3):148-51. 27. Marcheggiani Muccioli GM, Manning C, Wright P, Grassi A, Zaffagnini S, Funk L. Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes. Knee Surg Sports Traumatol Arthrosc. 2016; 24(6):1961-7. 28. Milewski MD, Tompkins M, Giugale JM, Carson EW, Miller MD, Diduch DR. Complications related to anatomic reconstruction of the coracoclavicular ligaments. Am J Sports Med. 2012; 40(7):1628-34. 29. Torkaman A, Bagherifard A, Mokhatri T, Haghighi MH, Monshizadeh S, Taraz H, et al. Doublebutton fixation system for management of acute acromioclavicular joint dislocation. Arch Bone Jt Surg. 2016; 4(1):41-6. | ||
آمار تعداد مشاهده مقاله: 543 تعداد دریافت فایل اصل مقاله: 587 |