Your browser doesn't support javascript.
loading
Comparison of Short-term Complications Between 2 Methods of Coracoclavicular Ligament Reconstruction: A Multicenter Study.
Rush, Lane N; Lake, Nicholas; Stiefel, Eric C; Hobgood, Edward R; Ramsey, J Randall; O'Brien, Michael J; Field, Larry D; Savoie, Felix H.
Afiliación
  • Rush LN; Tulane University School of Medicine, New Orleans, Louisiana, USA.
  • Lake N; Tulane University School of Medicine, New Orleans, Louisiana, USA.
  • Stiefel EC; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.
  • Hobgood ER; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.
  • Ramsey JR; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.
  • O'Brien MJ; Tulane University School of Medicine, New Orleans, Louisiana, USA.
  • Field LD; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.
  • Savoie FH; Tulane University School of Medicine, New Orleans, Louisiana, USA.
Orthop J Sports Med ; 4(7): 2325967116658419, 2016 Jul.
Article en En | MEDLINE | ID: mdl-27504468
BACKGROUND: Numerous techniques have been used to treat acromioclavicular (AC) joint dislocation, with anatomic reconstruction of the coracoclavicular (CC) ligaments becoming a popular method of fixation. Anatomic CC ligament reconstruction is commonly performed with cortical fixation buttons (CFBs) or tendon grafts (TGs). PURPOSE: To report and compare short-term complications associated with AC joint stabilization procedures using CFBs or TGs. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: We conducted a retrospective review of the operative treatment of AC joint injuries between April 2007 and January 2013 at 2 institutions. Thirty-eight patients who had undergone a procedure for AC joint instability were evaluated. In these 38 patients with a mean age of 36.2 years, 18 shoulders underwent fixation using the CFB technique and 20 shoulders underwent reconstruction using the TG technique. RESULTS: The overall complication rate was 42.1% (16/38). There were 11 complications in the 18 patients in the CFB group (61.1%), including 7 construct failures resulting in a loss of reduction. The most common mode of failure was suture breakage (n = 3), followed by button migration (n = 2) and coracoid fracture (n = 2). There were 5 complications in the TG group (25%), including 3 cases of asymptomatic subluxation, 1 symptomatic suture granuloma, and 1 superficial infection. There were no instances of construct failure seen in TG fixations. CFB fixation was found to have a statistically significant increase in complications (P = .0243) and construct failure (P = .002) compared with TG fixation. CONCLUSION: CFB fixation was associated with a higher rate of failure and higher rate of early complications when compared with TG fixation.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Idioma: En Revista: Orthop J Sports Med Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Idioma: En Revista: Orthop J Sports Med Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos