テトロンテープを用いた烏口鎖骨靭帯再建術による新鮮肩鎖関節脱臼の治療成績

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  • The Operative Treatment of Complete Acromioclavicular Dislocation with Tetron tape(R) for Reinforcing the Coracoclavicular Ligament

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We evaluated the surgical results of fresh complete acromioclavicular (AC) dislocations utilizing the Tetron tapeR for reinforcing coracoclavicular (CC) ligaments. Thirty-one patients with complete AC dislocations were treated from 1996 to 2000. All the cases were males, and the mean age was thirty-two years old (fourteen - fiftyeight). There were thirteen right and eighteen left shoulders. They were followed-up for an average of fifty months (twenty-five - seventy-seven) postoperatively and evaluated with JSS-ACj score, full marks of which were 100points. We also examined the radiographic changes around AC joints. The average postoperative JSS-ACj score was 95.1±6.2 points(73-100). The radidgraphic evaluations revealed ossifications of the CC ligament(eleven cases). bone hypertrophies of the distal end of clavicle (two cases) and osteoarthritic change of the AC joint (four cases). Bone erosions of the clavicle or the coracoid process by a synthetic material was not evident A displacement within 50% of the AC joint height was observed in twenty-five cases (Group I), while its was over 50% in the remaining six cases (Group II). There were no postoperative complete dislocation. JSS-ACj score of Group I and Group II was 96.6±4.3 points and 88.8±9.5 points, respectively. There was a significant difilerence between the two groups (p<0.01). But no other radiographic changes had a relationship to the clinical results. Overall, the clinical results of this procedure were satisfactory, though a mild degree of subluxations was present in 19% of the patients.

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  • Katakansetsu

    Katakansetsu 27 (3), 507-511, 2003

    Japan Shoulder Society

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