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題名 | Post-Traumatic Acromioclavicular Instability Reconstruction with Coracoacromial Ligament and Conjoined Tendon: A Preliminary Report= |
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作者 | Chao, Yi-hsuan; Chen, Shu-yu; Chen, Alvin Chao-yu; Chan, Yi-sheng; Hsu, Kuo-yao; Cheng, Chun-ying; Chen, Yeung-jen; Yeh, Wen-ling; |
期刊 | Formosan Journal of Musculoskeletal Disorders |
出版日期 | 20121100 |
卷期 | 3:4 2012.11[民101.11] |
頁次 | 頁121-125 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | Acromioclavicular joint; Coracoclavicular reconstruction; Tendon graft; |
英文摘要 | Background Many surgical techniques have been proposed to treat acromioclavicular (AC) injuries; however, anatomic coracoclavicular (CC) reconstructions with local tissue grafts have not been reported in previous studies. The aim of this study was to investigate early outcomes of this innovative technique. Methods Between 2004 and 2011, 15 patients with post-traumatic AC instability underwent anatomic reconstructions by two surgeons at our institution. Nine patients were treated with local tissue grafts, and these included six patients who underwent double-bundle reconstructions and three who underwent single-bundle reconstructions. The remaining six patients were treated with free tendon grafts. The clinical outcomes of the Constant scores and the radiographic results of the CC distance were further analyzed. Results In patients who underwent reconstructions with local tissue grafts, those treated with double-bundle and selective-bundle reconstructions had an average postoperative Constant score of 89.0 ± 11.5 and 71.7 ± 38.4, respectively. In patients who underwent reconstructions with free tendon grafts, the average score was 73.0 ± 29.4. There was no statistically significant difference among the three reconstruction procedures. Only one patient showed residual AC separation on plain-film radiography. Conclusion This innovative technique provided clinical and radiographic results that were comparable to those achieved with free tendon grafts. This procedure can be an alternative surgical option for treating AC joint instability. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。