Mid-term outcome comparing temporary K-wire fixation versus PDS augmentation of Rockwood grade III acromioclavicular joint separationsReportar como inadecuado




Mid-term outcome comparing temporary K-wire fixation versus PDS augmentation of Rockwood grade III acromioclavicular joint separations - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Research Notes

, 2:84

First Online: 09 May 2009Received: 25 March 2009Accepted: 09 May 2009DOI: 10.1186-1756-0500-2-84

Cite this article as: Leidel, B.A., Braunstein, V., Pilotto, S. et al. BMC Res Notes 2009 2: 84. doi:10.1186-1756-0500-2-84

Abstract

BackroundThe treatment of acute acromioclavicular AC joint injuries depends mainly on the type of the dislocation and patient demands. This study compares the mid term outcome of two frequently performed surgical concepts of Rockwood grade III AC joint separations: The temporary articular fixation with K-wires TKW and the refixation with an absorbable polydioxansulfate PDS sling.

FindingsRetrospective observational study of 86 patients with a mean age of 37 years underwent either TKW n = 70 or PDS treatment n = 16 of Rockwood grade III AC joint injuries. Mid term outcome with a mean follow up of 3 years was measured using a standardized functional patient questionnaire including Constant score, ASES rating scale, SPADI, XSMFA-D and a pain score. K-wire therapy resulted in significantly better functional results expressed by Constant score 88 ± 10 vs. 73 ± 18, ASES rating scale 29 ± 3 vs. 25 ± 5, SPADI 3 ± 9 vs. 9 ± 13, XSMFA-D function 13 ± 2 vs. 14 ± 3, XSMFA-D impairment 4 ± 1 vs. 6 ± 2 and pain score 1 ± 1 vs. 2 ± 2.

ConclusionEither temporary K-wire fixation and PDS sling enable good or satisfying functional results in the treatment of Rockwood grade III AC separations. However functional outcome parameters indicate a significant advantage for the K-wire technique.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-2-84 contains supplementary material, which is available to authorized users.

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Autor: Bernd A Leidel - Volker Braunstein - Susann Pilotto - Wolf Mutschler - Chlodwig Kirchhoff

Fuente: https://link.springer.com/







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