Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Coracoclavicular Ligament Augmentation Using Tight-Rope® for Acute Acromioclavicular Joint Dislocation - Preliminary Report -

Tight-Rope®을 이용한 급성 견봉 쇄골 관절 탈구의 치료 - 예비 보고 -

  • Kweon, Seok Hyun (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Choi, Sang Su (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Lee, Seong In (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Kim, Jeong Woo (Department of Orthopaedic Surgery, Wonkwang University School of Medicine) ;
  • Kim, Kwang Mee (Department of Nursing Science, Chodang University Muan)
  • 권석현 (원광대학교 의과대학 정형외과학교실) ;
  • 최상수 (원광대학교 의과대학 정형외과학교실) ;
  • 이성인 (원광대학교 의과대학 정형외과학교실) ;
  • 김정우 (원광대학교 의과대학 정형외과학교실) ;
  • 김광미 (초당대학교 간호학교실)
  • Received : 2012.09.24
  • Accepted : 2013.11.09
  • Published : 2013.12.31
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Abstract

Purpose: The purpose of this study is to analyze the results of acute acromioclavicular joint dislocation treatment with coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ (Arthrex). Materials and Methods: From October 2009 to March 2011, 30 patients with acute acromioclavicular joint dislocation underwent coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ and were followed up for at least 12 months after surgery. The radiologic results were qualified according to serial plain radiographs, and the clinical results according to University of California - Los Angeles (UCLA) Shoulder Scale, Constant score, and VAS pain score. Results: Using the UCLA scoring system, excellent results were observed in 22 cases (73%), good results in five cases (17%), fair results in two cases (7%), and a poor result in one case (3%). The average Constant score was $92.5{\pm}7.5$. According to radiologic results, anatomical reduction was achieved in 26 cases, and two cases showed a moderate loss of reduction, and two cases showed complete re-dislocation. Clinical results for patients with re-dislocation were unsatisfactory and reoperation was required. Conclusion: Coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ is a good option providing reliable functional results in patients with acute acromioclavicular joint dislocation.

목적: 급성 견봉 쇄골 관절 탈구에서 Tight-Rope$^{(R)}$ (Arthrex)를 이용한 오구 쇄골 인대 보강술의 유용성을 알아보고자 하였다. 대상 및 방법: 2009년 10월부터 2011년 3월까지 급성 견봉 쇄골 관절 탈구 환자에 대해 Tight-Rope$^{(R)}$를 이용하여 치료한 환자 중에서 12개월 이상 추시 관찰이 가능한 30명을 대상으로 하였다. 술 후 정복 상태의 평가는 쇄골의 방사선학적 추시를 통해 분석하였으며 임상적 결과는 UCLA 점수, Constant 점수 및 VAS 통증 점수를 사용하였다. 결과: 임상적 평가에서 UCLA 점수는 22예(73%)에서 우수, 5예(17%)에서 양호, 2예(7%)에서 보통, 1예(3%)에서 불량이었으며, Constant 점수는 평균 $92.5{\pm}7.5$점이었다. 방사선학적 결과는 26예(86%)에서 해부학적 정복을 보였으며, 2예(7%)에서 중등도의 정복 소실, 2예(7%)에서 완전 재탈구를 보였으며, 이중 완전 재탈구를 보였던 2예에서 임상적 결과가 만족스럽지 않았으며 재수술을 필요로 하였다. 결론: 급성 견봉 쇄골 관절 탈구에서 Tight-Rope$^{(R)}$를 이용한 오구 쇄골 인대 보강술은 신뢰할 만한 임상적 결과를 제공하는 좋은 치료 방법이라 생각한다.

Keywords

References

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