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KMID : 0828620110150010013
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Journal of Korean Arthroscopy Society
2011 Volume.15 No. 1 p.13 ~ p.18
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Arthroscopic Treatment of Acute Acromioclavicular Dislocation using TightRope®
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Kim In-Bo
Shon Myung-Hwan
Kim Moon-Chan
Kim Dong-Jun
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Abstract
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Purpose: The purpose of this study is to evaluate the radiologic and clinical results of the arthroscopic coracoclavicular fixation of the acute acromioclavicular dislocation using TightRope® (Arthrex, Inc, Naples, FL).
Materials and Methods : We performed the arthroscopic coracoclavicular fixation using TightRope® in twenty patients with the Rockwood type III or V acute acromioclavicular dislocation between February, 2009, and February, 2010. Mean follow-up was 13.4 (range 8~22) months. Radiologic results were evaluated by comparing the distances between the clavicle and the coracoid process with those in the contralateral sides using the acromioclavicular stress radiographs. Clinical results were made according to the KSS (Korean Shoulder Scoring System), and the cosmetic satisfaction of the patient was assessed.
Results: Radiologically, 18 cases showed excellent, 1 case showed good and 1 case showed fair results. Clinically, KSS was mean 98.5 (range 92~100) points and all cases revealed satisfactory cosmetic results. Because one case complained of skin tenderness and discomfort of palpation, we closed the knot with surrounding muscle & fascia. Then local wound infection occurred, so we treated it by incision and drainage under local anesthesia and antibiotic therapy for 2 weeks.
Conclusion: Arthroscopic coracoclavicular fixation using TightRope® for treating the Rockwood type III or V acute acromioclavicular dislocation showed satisfactory radiologic and clinical results. It seems to be a good treatment method that has little postoperative complication, provides an early rehabilitation and an excellent cosmetic result, and does not require secondary operation for removal of metal implant.
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KEYWORD
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Acromioclavicular joint, Acute Dislocation, TightRope®
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