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All arthroscopic coracoclavicular button fixation is efficient for Neer type II distal clavicle fractures.
Knee Surgery, Sports Traumatology, Arthroscopy ( IF 3.8 ) Pub Date : 2020-05-07 , DOI: 10.1007/s00167-020-06048-8 Mehmet Kapicioglu 1 , Tunay Erden 2 , Emre Bilgin 3 , Kerem Bilsel 1
Knee Surgery, Sports Traumatology, Arthroscopy ( IF 3.8 ) Pub Date : 2020-05-07 , DOI: 10.1007/s00167-020-06048-8 Mehmet Kapicioglu 1 , Tunay Erden 2 , Emre Bilgin 3 , Kerem Bilsel 1
Affiliation
PURPOSE
Neer type II distal clavicle fractures are associated with a high rate of non-union or malunion due to impaired coracoclavicular ligament stability. The purpose of this study was to assess the clinical and radiological outcomes of arthroscopically assisted indirect osteosynthesis for type II distal clavicle fractures using a cortical suture button device.
METHODS
Seventeen patients Neer type II fractures of the distal clavicle were treated surgically using cortical suture button fixation between 2012 and 2017. The clinical and radiological results were assessed using the American Shoulder and Elbow Surgeons Shoulder Score (ASES), Constant-Murley score and visual analogue scale (VAS) score.
RESULTS
Anatomic reduction and bone healing were achieved in all patients at the final follow-up. The median age of the patients was 31 years (range 19-57). The mean follow-up was 25.9 months (range 14-64). The average delay before surgery was 2 days (range 1-4). At the final follow-up, the mean ASES, Constant-Murley score and VAS score were 92.6 ± 3.2 (range 84.9-96.6), 96.2 ± 2.4 (range 92-100) and 0.47 ± 0.51 (range 0-1), respectively. All patients were able to resume work as well as sport activities. The postoperative complications included two coracoid process fractures, and none of the patients required additional surgery related to the index procedure.
CONCLUSION
All arthroscopic coracoclavicular button fixation of Neer type II distal clavicle fractures would provide sufficient stability and union with satisfactory radiological and clinical outcomes. This arthroscopic fixation technique would be more efficient than other osteosynthesis methods because it is a minimally invasive surgery with a low complication rate.
LEVEL OF EVIDENCE
III.
中文翻译:
所有关节镜下的锁骨锁骨扣固定术对于Neer II型远端锁骨远端骨折均有效。
目的Neer II型远端锁骨骨折由于锁骨锁骨韧带稳定性受损而导致不愈合或畸形愈合率高。这项研究的目的是评估使用皮质缝合按钮装置的关节镜辅助II型锁骨远端骨折的间接骨合成的临床和放射学结果。方法2012年至2017年间,通过皮质缝合纽扣固定术治疗17例远端锁骨远端Neer II型骨折患者。采用美国肩肘外科医师肩膀评分(ASES),Constant-Murley评分和视觉评分评估了临床和放射学结果模拟量表(VAS)得分。结果在最后的随访中所有患者均实现了解剖复位和骨愈合。患者的中位年龄为31岁(范围19-57)。平均随访时间为25.9个月(范围14-64)。手术前的平均延迟时间为2天(范围1-4)。在最后的随访中,平均ASES,Constant-Murley评分和VAS评分分别为92.6±3.2(范围84.9-96.6),96.2±2.4(范围92-100)和0.47±0.51(范围0-1)。 。所有患者都能够恢复工作以及体育活动。术后并发症包括两个喙突骨折,并且没有患者需要与索引程序相关的额外手术。结论所有Neer II型锁骨远端骨折的关节镜下锁骨锁骨固定都将提供足够的稳定性和结合力,并具有令人满意的放射学和临床效果。这种关节镜固定技术将比其他骨合成方法更有效,因为它是并发症率低的微创手术。证据级别III。
更新日期:2020-05-07
中文翻译:
所有关节镜下的锁骨锁骨扣固定术对于Neer II型远端锁骨远端骨折均有效。
目的Neer II型远端锁骨骨折由于锁骨锁骨韧带稳定性受损而导致不愈合或畸形愈合率高。这项研究的目的是评估使用皮质缝合按钮装置的关节镜辅助II型锁骨远端骨折的间接骨合成的临床和放射学结果。方法2012年至2017年间,通过皮质缝合纽扣固定术治疗17例远端锁骨远端Neer II型骨折患者。采用美国肩肘外科医师肩膀评分(ASES),Constant-Murley评分和视觉评分评估了临床和放射学结果模拟量表(VAS)得分。结果在最后的随访中所有患者均实现了解剖复位和骨愈合。患者的中位年龄为31岁(范围19-57)。平均随访时间为25.9个月(范围14-64)。手术前的平均延迟时间为2天(范围1-4)。在最后的随访中,平均ASES,Constant-Murley评分和VAS评分分别为92.6±3.2(范围84.9-96.6),96.2±2.4(范围92-100)和0.47±0.51(范围0-1)。 。所有患者都能够恢复工作以及体育活动。术后并发症包括两个喙突骨折,并且没有患者需要与索引程序相关的额外手术。结论所有Neer II型锁骨远端骨折的关节镜下锁骨锁骨固定都将提供足够的稳定性和结合力,并具有令人满意的放射学和临床效果。这种关节镜固定技术将比其他骨合成方法更有效,因为它是并发症率低的微创手术。证据级别III。