Die operative Versorgung der Akromioklavikulargelenkssprengung

Horst, Klemens; Dienstknecht, Thomas; Pape, H.-C.

doi:10.1055/s-0032-1328234

Cited by 1 publication

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References 4 publications

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“…[3][4][5] Many operative techniques for acute AC joint injury have been developed over the years, including the Phemister 6) or modified Phemister technique, 7,8) Bosworth technique, 9) Weaver-Dunn technique, 10) Wolter plate, conventional hook plate, and locking hook plate fixation. 11) Recently, the arthroscopic reduction technique using Tightrope (Arthrex, Naples, FL, USA) 12,13) has gained popularity. However, there is no 'gold standard' technique for surgical treatment of AC joint dislocation.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Modified Phemister Operation with Coracoclavicular Ligament Augmentation Using Suture Anchor for Acute Acromioclavicular Joint Dislocation

Cho

Bae

Seo

et al. 2019

Clin Shoulder Elbow

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Background: Modified Phemister operation has been widely used for the treatment of acute acromioclavicular (AC) joint dislocation. Additionally, the use of suture anchor for coracoclavicular (CC) fixation has been reported to provide CC stability. This study was conducted to evaluate the clinical and radiological results of a modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation.Methods: Seventy-four patients underwent the modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation and were followed-up for an average of 12.3 months. The visual analogue scale (VAS), range of motion, Constant score, and Korean shoulder scoring system (KSS) were used for clinical assessment. Acromioclavicular interval (ACI), coracoclavicular distance (CCD), and acromioclavicular distance (ACD) were obtained to evaluate the radiological assessments.Results: At the last follow-up, the mean VAS Score was 1.7 points, the mean joint range of the forward flexion was 164.6°, external rotation at the side was 61.2°, and internal rotation to the posterior was a level of T12. The mean Constant score and the mean KSS was 82.7 points and 84.2 points, respectively. At the mean ACI, CCD, and ACD, significant differences were found preoperatively and at the last follow-up. When the ACI, CCD, and ACD were compared with the contralateral unaffected shoulder at the last follow-up, the affected shoulders had significantly higher values.Conclusions: The modified Phemister operation with CC ligament augmentation using suture anchor is clinically and radiologically effective at acute AC joint dislocation.

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