{"title":"ZipTight固定系统重建喙锁韧带治疗急性肩锁关节脱位的中期临床和影像学结果","authors":"E. Uluyardımcı, M. Tahta, Çetin Işık","doi":"10.5455/HANDMICROSURG.41255","DOIUrl":null,"url":null,"abstract":"Objectives: In this study, it was aimed to evaluate the mid-term clinical and radiological outcomes of coracoclavicular (CC) ligament reconstruction using knotless ZipTight fixation system in acute acromioclavicular (AC) joint dislocations. Methods: Twenty-seven patients who underwent surgery with ZipTight (Zimmer Biomet, Parsippany, NJ) fixation system were included in this retrospective clinical study. Twenty-three of the patients are male; 4 of them were female and the mean age was 32.9 ± 9.8. Ten patients had Rockwood type III and 17 patients had type V acute AC joint dislocation. Patients were evaluated clinically with Constant score, American Shoulder and Elbow Surgeons (ASES) score and visual analogue scale (VAS) pain score at the final follow-up. The radiologic assessment included standard anteroposterior views of the coracoclavicular (CC) distances. Results: The mean follow-up time was 36.2 ± 13.6 months. At the last follow-up, mean Constant score was 91.6 ± 6.18; the ASES score was 89.9 ± 6.3 and the VAS pain score was 0.33 ± 0.62. When they were divided into two subgroups as type III and type V AC joint dislocations, the two groups were found to be similar in terms of clinical outcomes (p > 0.889). CC distance measurements obtained in radiographic evaluation were measured as 20.04 ± 4.84 mm at preoperative period; it was 7.55 ± 0.78 mm in the early postoperative period and 7.76 ± 0.79 mm at the last follow-up. A statistically significant improvement was observed in the measurements in the early postoperative period compared to the measurements at preoperative period (p = 0.001). There was no significant difference between the measurements in the early postoperative period and those at the last follow-up (p = 0.001). Conclusions: In the treatment of acute AC joint dislocations, successful clinical and radiological outcomes can be obtained in the mid -term with CC ligament reconstruction using ZipTight fixation system.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"80 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations\",\"authors\":\"E. Uluyardımcı, M. Tahta, Çetin Işık\",\"doi\":\"10.5455/HANDMICROSURG.41255\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives: In this study, it was aimed to evaluate the mid-term clinical and radiological outcomes of coracoclavicular (CC) ligament reconstruction using knotless ZipTight fixation system in acute acromioclavicular (AC) joint dislocations. Methods: Twenty-seven patients who underwent surgery with ZipTight (Zimmer Biomet, Parsippany, NJ) fixation system were included in this retrospective clinical study. Twenty-three of the patients are male; 4 of them were female and the mean age was 32.9 ± 9.8. Ten patients had Rockwood type III and 17 patients had type V acute AC joint dislocation. Patients were evaluated clinically with Constant score, American Shoulder and Elbow Surgeons (ASES) score and visual analogue scale (VAS) pain score at the final follow-up. The radiologic assessment included standard anteroposterior views of the coracoclavicular (CC) distances. Results: The mean follow-up time was 36.2 ± 13.6 months. At the last follow-up, mean Constant score was 91.6 ± 6.18; the ASES score was 89.9 ± 6.3 and the VAS pain score was 0.33 ± 0.62. When they were divided into two subgroups as type III and type V AC joint dislocations, the two groups were found to be similar in terms of clinical outcomes (p > 0.889). CC distance measurements obtained in radiographic evaluation were measured as 20.04 ± 4.84 mm at preoperative period; it was 7.55 ± 0.78 mm in the early postoperative period and 7.76 ± 0.79 mm at the last follow-up. A statistically significant improvement was observed in the measurements in the early postoperative period compared to the measurements at preoperative period (p = 0.001). There was no significant difference between the measurements in the early postoperative period and those at the last follow-up (p = 0.001). Conclusions: In the treatment of acute AC joint dislocations, successful clinical and radiological outcomes can be obtained in the mid -term with CC ligament reconstruction using ZipTight fixation system.\",\"PeriodicalId\":31023,\"journal\":{\"name\":\"Hand and Microsurgery\",\"volume\":\"80 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hand and Microsurgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5455/HANDMICROSURG.41255\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hand and Microsurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5455/HANDMICROSURG.41255","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations
Objectives: In this study, it was aimed to evaluate the mid-term clinical and radiological outcomes of coracoclavicular (CC) ligament reconstruction using knotless ZipTight fixation system in acute acromioclavicular (AC) joint dislocations. Methods: Twenty-seven patients who underwent surgery with ZipTight (Zimmer Biomet, Parsippany, NJ) fixation system were included in this retrospective clinical study. Twenty-three of the patients are male; 4 of them were female and the mean age was 32.9 ± 9.8. Ten patients had Rockwood type III and 17 patients had type V acute AC joint dislocation. Patients were evaluated clinically with Constant score, American Shoulder and Elbow Surgeons (ASES) score and visual analogue scale (VAS) pain score at the final follow-up. The radiologic assessment included standard anteroposterior views of the coracoclavicular (CC) distances. Results: The mean follow-up time was 36.2 ± 13.6 months. At the last follow-up, mean Constant score was 91.6 ± 6.18; the ASES score was 89.9 ± 6.3 and the VAS pain score was 0.33 ± 0.62. When they were divided into two subgroups as type III and type V AC joint dislocations, the two groups were found to be similar in terms of clinical outcomes (p > 0.889). CC distance measurements obtained in radiographic evaluation were measured as 20.04 ± 4.84 mm at preoperative period; it was 7.55 ± 0.78 mm in the early postoperative period and 7.76 ± 0.79 mm at the last follow-up. A statistically significant improvement was observed in the measurements in the early postoperative period compared to the measurements at preoperative period (p = 0.001). There was no significant difference between the measurements in the early postoperative period and those at the last follow-up (p = 0.001). Conclusions: In the treatment of acute AC joint dislocations, successful clinical and radiological outcomes can be obtained in the mid -term with CC ligament reconstruction using ZipTight fixation system.