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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: The purpose of our study is to compare the radiographic and clinical outcomes with respect to acromioclavicular (AC) joint dislocation depending on the surgical method: Hook plate (HP) versus TightRope (TR).Materials and Methods: Between May 2009 and May 2012, 51 patients with Rockwood type III-V lesions received clinical and radiographic follow-up. Patients were divided into two groups according to the surgical methods (HP: n=32; TR: n=19). Radiological follow-up included comparative coracocla-vicular distance (CCD) measurements as a percentage of the uninjured shoulder. For clinical follow-up, a standardized functional shoulder assessment with the Constant score, University of California at Los Angeles (UCLA) score, and Korea shoulder score (KSS) were carried out.Results: Comparing the functional results, no differences were observed between the two groups (Constant score: HP, 78.5; TP, 81.4; UCLA score: HP, 29.2; TP, 29.9; KSS: HP, 79.2; TP, 80.7). Time to restoration of the range of motion (ROM) above shoulder level was longer in the HP group than in the TR group. However, the ROM at 1 year postoperation and final follow-up revealed similar results be-tween the two groups. The AC joints were well reduced in both groups, the CCD increased to 44.7% in the HP group and to 76.5% in the TR group at the final follow-up; however, no one was significantly superior to the others. Furthermore, there were 8 cases (25.0%) and 5 cases (26.3%) of AC joint arthritis in the HP group and TR group, respectively. However, the observed AC joint arthritis has a poor correlation between clinical symptom and radiological results in both groups.Conclusion: Both HP and TR fixation could be a recommendable treatment option in acute unstable AC joint dislocation. Both groups showed excellent radiologic and functional results at the final visit. More-over, there was no significant difference in statistics, except for the time to restoration of ROM above shoulder level.
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참고문헌 (27)
참고문헌 신청
Mazzocca AD / 2007 / Evaluation and treatment of acromioclavicular joint injuries / Am J Sports Med 35:316~329
Rockwood CA Jr / 1998 / The shoulder / WB Saunders :483~553
Simovitch R / 2009 / Acromioclavicular joint injuries: diagnosis and management / J Am Acad Orthop Surg 17:207~219
Gstettner C / 2008 / Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment / J Shoulder Elbow Surg 17:220~225
Cote MP / 2010 / Rehabilitation of acromioclavicular joint separations: operative and nonoperative considerations / Clin Sports Med 29:213~228
Rockwood CA Jr / 1998 / The shoulder / WB Saunders :483~553
Simovitch R / 2009 / Acromioclavicular joint injuries: diagnosis and management / J Am Acad Orthop Surg 17:207~219
Gstettner C / 2008 / Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment / J Shoulder Elbow Surg 17:220~225
Cote MP / 2010 / Rehabilitation of acromioclavicular joint separations: operative and nonoperative considerations / Clin Sports Med 29:213~228
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