294 465

Cited 0 times in

Treatment of acute acromioclavicular joint dislocation : Kirschner's wire trans-acromial fixation versus AO locking hook plate fixation

Other Titles
 급성 견봉쇄골 관절 탈구의 치료 
Authors
 김영준 
Issue Date
2016
Description
Dept. of Medicine/석사
Abstract
Background: The purpose of this study is to compare clinical and radiological outcomes between trans-acromial fixation with Kirschner’s wire (K-wire) and AO locking hook plate fixation for acute acromioclavicular (AC) joint dislocation.
Method: This study included 61 patients who underwent either closed reduction and trans-acromial fixation with K-wire (Group A, 23 patients) or open reduction and internal fixation with AO locking hook plate (Group B, 38 patients). Pain on a visual analog scale (VAS) score, the University of California Los Angeles (UCLA) shoulder score, the American Shoulder and Elbow Surgeons (ASES) score, and active range of motion (ROM) were used in the functional evaluation. For radiological evaluation, coracoclavicular distance (CCD) was measured on both clavicular anteroposterior view and compared between groups.
Results: At one-year follow-up, no significant differences in VAS pain score, UCLA shoulder score, ASES score, and active ROM were observed between groups, despite five cases (23%, 5/23) of complication in Group A. The side-to-side difference between normal and affected CCD was 2.4 ± 2.2 mm in Group A and 0.2 ± 0.7 mm in Group B. This difference showed a statistical significance between groups (p <0.001).
Conclusion: For the treatment of acute AC joint dislocation, the K-wire trans-acromial fixation group showed a significantly greater coracoclavicular distance (CCD) than the AO locking hook plate group. In addition, during the follow-up period, incidence of complication related to implant was much higher in the trans-acromial fixation group. Although clinical outcomes between groups were not significantly different, these should be interpreted carefully.
Files in This Item:
T014010.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Others (기타) > 2. Thesis
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/149160
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links