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The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique Rehabilitation Protocol and Short Term Results

机译:慢性级III交流关节脱位的无限锁定系统:一种新型技术康复协议和短期结果

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摘要

Background: the choice of treatment of chronic grade III acromioclavicular (AC) joint dislocation is controversial. Several surgical techniques have been described in the literature, responding differently to nonoperative treatment. The aim of this study is to describe a modified technique of stabilizing an AC joint dislocation with the new Infinity-Lock Button System, in order to demonstrate that it is effective in optimizing outcomes and decreasing complications. Methods: this is a retrospective study of 15 patients who underwent surgical stabilization of the AC joint dislocation between 2018 and 2019, through modified surgical technique using the Infinity-Lock Button System. Active range of motion (ROM), Specific Acromio Clavicular Score (SACS) and Constant Score (CS) were evaluated preoperatively and postoperatively at last 18 months follow up. Patients rated their outcomes as very good, good, satisfactory, or unsatisfactory. Results: a total of twelve patients rated their outcome as very good and three as good; no patients were dissatisfied with surgery. The mean Constant Score increased from 38 points preoperatively to 95 postoperatively, the average SACS score decreased from 52 points preoperatively to 10 postoperatively, both significantly. No complications were detected. Conclusion: the described technique is effective for treatment of chronic grade III AC joint dislocation, resulting in elevated satisfaction ratings and predictable outcomes. Nevertheless, further longer term follow-up studies are required.
机译:背景:慢性级III族丙基菌(AC)关节位错的选择是有争议的。在文献中描述了几种外科手术技术,对非手术治疗不同。本研究的目的是描述与新的无限锁定按钮系统稳定交流关节脱位的修改技术,以证明它在优化结果和降低并发症方面是有效的。方法:这是通过使用无限锁定按钮系统的改良手术技术,对15例接受过手术稳定的15名患者的回顾性研究。在过去18个月后,在术前和术后,在最后18个月后,在术前和术后,运动范围的运动(ROM),特异性acromio锁定评分(囊状)和恒定得分(CS)进行跟进。患者将其结果评为非常好,良好,令人满意或不满意。结果:12名患者共达到其结果,如同良好,三个好;没有患者对手术不满意。平均恒定得分从术后术前从38点增加到95点,术后平均囊在术后术前降低到10点,显着下降至10点。没有检测到任何并发症。结论:所描述的技术对于治疗慢性III级交流关节脱位是有效的,导致满意​​度升高和可预测的结果。然而,需要进一步的长期后续研究。

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