RESULTS OF TREATMENT OF PATIENTS WITH ACROMIOCLAVICULAR JOINT INJURIES
DOI:
https://doi.org/10.54890/1694-8882-2024-5-146Abstract
This study is devoted to the treatment of 90 patients with injuries of the acromioclavicular joint types III-V in accordance with the Rockwood classification, aged from 18 to 70 years. treated at city hospital No. 1 in Shymkent, South Kazakhstan region of the Republic of Kazakhstan from 2020 to 2023. 40 (45.5%) patients made up the main group who received complex treatment of patients, including a new combined method of restoring the acromioclavicular joint. The control group included 50 (55.5%) patients in whose treatment the traditional method was used: the clavicle was fixed with a hook-shaped plate without restoring the acromioclavicular joint ligaments. At the same time, the frequency of excellent and good treatment results was obtained by 1.7 and 1.2 times, respectively, and the frequency of satisfactory results was reduced by 4.8 and unsatisfactory results by 4.7 times compared to the traditional method of treatment, which confirms the effectiveness of the developed treatment tactics for patients.
Keywords:
acromioclavicular, rupture, dislocation, clavicle, plate, osteolysis, impingementReferences
1. Kalinsky EB, Kalinsky BM, Yakimov LA. Surgical treatment of patients with chronic dislocations of the acromial end of the clavicle. Moscow surgical journal. 2014;4(38):16–19.
2. Rakhimov SK, Nabiev EN, Orlovsky NB. Biomechanical features of damage to the ligamentous apparatus of the acromioclavicular joint (review). International Scientific and Practical Conference World science. 2017;5(19):46–50.
3. Holweg PA, Pichler W, Gruber G, Tackner E, Seibert FJ, Sadoghi P, et al. Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft. Case. Rep. Med. 2017;1:457625. https://doi.org/10.1155/2017/5457625
4. Chang N, Furey A, Kurdin A. Operative versus nonoperative management of acute high-grade acromioclavicular dislocations: a systematic review and meta-analysis. J. Orthop. Trauma. 2018;32(1):1-9. https://doi.org/10.1097/BOT.0000000000001004
5. Beitzel K, Mazzocca AD, Bak K, Itoi E, Kibler WB, Mirzayan R, et al. ISAKOS upper extremity committee consensus statement on the need for diversification of the Rockwood classification for acromioclavicular joint injuries. Arthroscopy. 2014;30(2):271–278. https://doi.org/10.1016/j.arthro.2013.11.005
6. Жунусов Б.Ж., Анаркулов Б.С. Функциональный остеосинтез переломов акромиального конца ключицы. Вестник КГМА им. И.К. Ахунбаева. 2016;1:88-90.
7. Issa SP, Payan C, Le Hanneur M, Loriaut P, Boyer P. Arthroscopically assisted reduction of acute acromioclavicular joint dislocation using a single double-button device: Medium-term clinical and radiological outcomes. Orthop. Traumatol. Surg. Res. 2018;104(1):33–38. https://doi.org/10.1016/j.otsr.2017.11.001
8. Hann C, Kraus N, Minkus M, Maziak N, Scheibel M. Combined arthroscopically assisted coraco- and acromioclavicular stabilization of acute high-grade acromioclavicular joint separations. Knee Surg Sports Traumatol Arthrosc. 2018;26(1):212-220. https://doi.org/10.1007/s00167-017-4643-2
9. Madi S, Pandey V, Khanna V, Acharya K. A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture. BMJ Case Rep. 2015;2015:bcr2015213254. Published 2015 Nov 23. https://doi.org/10.1136/bcr-2015-213254
10. Kany J, Guinand R, Croutzet P. All Arthroscopic augmented Vargas procedure: An option after failed acromioclavicular jointdislocation reconstruction. A technical note. Orthop. Traumatol. Surg. Res. 2016;102(5):669–672. https://doi.org/10.1016/j.otsr.2015.12.022
11. Beitzel, К. Current Concepts in the Treatment of Acromioclavicular Joint Dislocations II Arthroscopy. J. of Arthroscopic and Related Surgery. 2013;29(2):387-397. https://doi.org/10.1016/j.arthro.2012.11.023
12. Tauber M, Valler D, Lichtenberg S, Magosch P, Moroder P, Habermeyer P. Arthroscopic Stabilization of Chronic Acromioclavicular Joint Dislocations: Triple- Versus Single-Bundle Reconstruction. Am J Sports Med. 2016;44(2):482-489. https://doi.org/10.1177/0363546515615583
13. Грицюк А.А., Середа А.Н., Столяров А.А. Биохимические аспекты фиксации акромиального конца ключицы при ее вывихе. ЦВМКГ. 2010:23-26.
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