Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
권호 표지
DOI QR코드

DOI QR Code

Effect of cigarette smoking on the maintenance of reduction after treatment of acute acromioclavicular joint dislocation with hook plate fixation

  • Jee-Hoon Choi (Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yong-Min Chun (Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine) ;
  • Tae-Hwan Yoon (Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2023.08.17
  • 심사 : 2023.09.12
  • 발행 : 2023.12.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries. Methods: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal. Results: No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups. Conclusions: Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.

키워드

참고문헌

  1. Nordin JS, Olsson O, Lunsjo K. Acromioclavicular joint dislocations: incidence, injury profile, and patient characteristics from a prospective case series. JSES Int 2020;4:246-50. https://doi.org/10.1016/j.jseint.2020.01.009
  2. Barth J, Duparc F, Baverel L, et al. Prognostic factors to succeed in surgical treatment of chronic acromioclavicular dislocations. Orthop Traumatol Surg Res 2015;101(8 Suppl):S305-11. https://doi.org/10.1016/j.otsr.2015.09.002
  3. Cisneros LN, Reiriz JS. Management of chronic unstable acromioclavicular joint injuries. J Orthop Traumatol 2017;18:305-18. https://doi.org/10.1007/s10195-017-0452-0
  4. Beitzel K, Cote MP, Apostolakos J, et al. Current concepts in the treatment of acromioclavicular joint dislocations. Arthroscopy 2013;29:387-97. https://doi.org/10.1016/j.arthro.2012.11.023
  5. DeBerardino TM, Pensak MJ, Ferreira J, Mazzocca AD. Arthroscopic stabilization of acromioclavicular joint dislocation using the AC graftrope system. J Shoulder Elbow Surg 2010;19(2 Suppl):47-52. https://doi.org/10.1016/j.jse.2009.12.014
  6. Tauber M. Management of acute acromioclavicular joint dislocations: current concepts. Arch Orthop Trauma Surg 2013;133:985-95. https://doi.org/10.1007/s00402-013-1748-z
  7. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med 2007;35:316-29. https://doi.org/10.1177/0363546506298022
  8. Faraj AA, Ketzer B. The use of a hook-plate in the management of acromioclavicular injuries: report of ten cases. Acta Orthop Belg 2001;67:448-51.
  9. Kashii M, Inui H, Yamamoto K. Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clin Orthop Relat Res 2006;447:158-64. https://doi.org/10.1097/01.blo.0000203469.66055.6a
  10. Chaudry SN, Waseem M. Clavicular hook plate: complications of retaining the implant. Injury 2006;37:665.
  11. Chiang CL, Yang SW, Tsai MY, Kuen-Huang Chen C. Acromion osteolysis and fracture after hook plate fixation for acromioclavicular joint dislocation: a case report. J Shoulder Elbow Surg 2010;19:e13-5.
  12. Ding M, Ni J, Hu J, Song D. Rare complication of clavicular hook plate: clavicle fracture at the medial end of the plate. J Shoulder Elbow Surg 2011;20:e18-20. https://doi.org/10.1016/j.jse.2011.06.005
  13. Hoffler CE, Karas SG. Transacromial erosion of a locked sub-acromial hook plate: case report and review of literature. J Shoulder Elbow Surg 2010;19:e12-5. https://doi.org/10.1016/j.jse.2009.10.019
  14. Weinstein DM, McCann PD, McIlveen SJ, Flatow EL, Bigliani LU. Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med 1995;23:324-31. https://doi.org/10.1177/036354659502300313
  15. Ejam S, Lind T, Falkenberg B. Surgical treatment of acute and chronic acromioclavicular dislocation Tossy type III and V using the hook plate. Acta Orthop Belg 2008;74:441-5.
  16. Hemmann P, Koch M, Guhring M, Bahrs C, Ziegler P. Acromioclavicular joint separation treated with clavicular hook plate: a study of radiological and functional outcomes. Arch Orthop Trauma Surg 2021;141:603-10. https://doi.org/10.1007/s00402-020-03521-4
  17. Kienast B, Thietje R, Queitsch C, Gille J, Schulz AP, Meiners J. Mid-term results after operative treatment of rockwood grade III-V acromioclavicular joint dislocations with an AC-hook-plate. Eur J Med Res 2011;16:52-6. https://doi.org/10.1186/2047-783X-16-2-52
  18. Fraser-Moodie JA, Shortt NL, Robinson CM. Injuries to the acromioclavicular joint. J Bone Joint Surg Br 2008;90:697-707. https://doi.org/10.1302/0301-620X.90B6.20704
  19. Pallis M, Cameron KL, Svoboda SJ, Owens BD. Epidemiology of acromioclavicular joint injury in young athletes. Am J Sports Med 2012;40:2072-7. https://doi.org/10.1177/0363546512450162
  20. Kim SJ, Lee SK, Kim SH, Kim SH, Ryu SW, Jung M. Effect of cigarette smoking on the clinical outcomes of ACL reconstruction. J Bone Joint Surg Am 2014;96:1007-13. https://doi.org/10.2106/JBJS.M.00598
  21. Karim A, Pandit H, Murray J, Wandless F, Thomas NP. Smoking and reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 2006;88:1027-31.
  22. Bishop JY, Santiago-Torres JE, Rimmke N, Flanigan DC. Smoking predisposes to rotator cuff pathology and shoulder dysfunction: a systematic review. Arthroscopy 2015;31:1598-605. https://doi.org/10.1016/j.arthro.2015.01.026
  23. Park JH, Oh KS, Kim TM, et al. Effect of smoking on healing failure after rotator cuff repair. Am J Sports Med 2018;46:2960-8. https://doi.org/10.1177/0363546518789691
  24. Lee DO, Eom JS, Jung HG. The effect of smoking on the outcomes of lateral ankle ligament reconstruction. J Orthop Sci 2018;23:88-91.
  25. Bondy SJ, Victor JC, Diemert LM. Origin and use of the 100 cigarette criterion in tobacco surveys. Tob Control 2009;18:317-23. https://doi.org/10.1136/tc.2008.027276
  26. Kim SJ, Choi YR, Jung M, Lee W, Chun YM. Arthroscopic repair of anterosuperior massive rotator cuff tears: does repair integrity affect outcomes. Am J Sports Med 2017;45:1762-8. https://doi.org/10.1177/0363546517694028
  27. Yoon JS, Kim SJ, Choi YR, Kim SH, Chun YM. Arthroscopic repair of the isolated subscapularis full-thickness tear: single- versus double-row suture-bridge technique. Am J Sports Med 2019;47:1427-33. https://doi.org/10.1177/0363546519838281
  28. Oh JH, Kim SH, Kwak SH, Oh CH, Gong HS. Results of concomitant rotator cuff and SLAP repair are not affected by unhealed SLAP lesion. J Shoulder Elbow Surg 2011;20:138-45. https://doi.org/10.1016/j.jse.2010.04.003
  29. Oh JH, Min S, Jung JW, et al. Clinical and radiological results of hook plate fixation in acute acromioclavicular joint dislocations and distal clavicle fractures. Clin Shoulder Elb 2018;21:95-100. https://doi.org/10.5397/cise.2018.21.2.95
  30. Ko SH, Lee CC, Jeon YD, Han JW, Lee KJ. Long-term clinical outcomes after tightrope versus hook plate fixation for acute acromioclavicular joint dislocation. Orthop J Sports Med 2023;11:23259671231165097.
  31. Kanneganti P, Harris JD, Brophy RH, Carey JL, Lattermann C, Flanigan DC. The effect of smoking on ligament and cartilage surgery in the knee: a systematic review. Am J Sports Med 2012;40:2872-8. https://doi.org/10.1177/0363546512458223
  32. Galatz LM, Silva MJ, Rothermich SY, Zaegel MA, Havlioglu N, Thomopoulos S. Nicotine delays tendon-to-bone healing in a rat shoulder model. J Bone Joint Surg Am 2006;88:2027-34.
  33. Lee YS, Kim DS, Jung JW, Jo YH, Lee CH, Lee BG. Risk factors of loss of reduction after acromioclavicular joint dislocation treated with a hook plate. J Orthop Traumatol 2023;24:10.
  34. Argintar E, Triantafillou K, Delahay J, Wiesel B. The musculoskeletal effects of perioperative smoking. J Am Acad Orthop Surg 2012;20:359-63. https://doi.org/10.5435/JAAOS-20-06-359
  35. Lee JJ, Patel R, Biermann JS, Dougherty PJ. The musculoskeletal effects of cigarette smoking. J Bone Joint Surg Am 2013;95:850-9. https://doi.org/10.2106/JBJS.L.00375
  36. Xanthoulea S, Deliaert A, Romano A, Rensen SS, Buurman WA, van der Hulst RR. Nicotine effect on inflammatory and growth factor responses in murine cutaneous wound healing. Int Immunopharmacol 2013;17:1155-64. https://doi.org/10.1016/j.intimp.2013.10.022
  37. Lundgreen K, Lian OB, Scott A, Nassab P, Fearon A, Engebretsen L. Rotator cuff tear degeneration and cell apoptosis in smokers versus nonsmokers. Arthroscopy 2014;30:936-41. https://doi.org/10.1016/j.arthro.2014.03.027
  38. Jensen JA, Goodson WH, Hopf HW, Hunt TK. Cigarette smoking decreases tissue oxygen. Arch Surg 1991;126:1131-4. https://doi.org/10.1001/archsurg.1991.01410330093013
  39. Whiteford L. Nicotine, CO and HCN: the detrimental effects of smoking on wound healing. Br J Community Nurs 2003;8:S22-6. https://doi.org/10.12968/bjcn.2003.8.Sup6.12554
  40. Itoi E, Arce G, Bain GI, et al. Shoulder stiffness: current concepts and concerns. Arthroscopy 2016;32:1402-14. https://doi.org/10.1016/j.arthro.2016.03.024