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首页> 外文期刊>Revista Brasileira de Ortopedia >Técnica combinada para reconstru??o acromioclavicular após luxa??o aguda – descri??o técnica e resultados funcionais
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Técnica combinada para reconstru??o acromioclavicular após luxa??o aguda – descri??o técnica e resultados funcionais

机译：急性脱位后肩锁骨重建联合技术-技术说明和功能结果

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Objective This study aims to describe the surgical approach to such injuries and to present the clinical and functional outcomes obtained in a cohort of patients. Methods This is an observational retrospective study that included 153 patients with acute acromioclavicular joint dislocation, operated between 1999 and 2015. Clinical evaluation included the following outcomes: Constant functional scale, development of complications, time to return to previous work/sport activities, and satisfaction index. The contra‐lateral (uninjured) shoulder was used as control in subjective outcomes. Radiological evaluation was performed in order to monitor signs of loss of reduction, degenerative joint changes, and coracoclavicular calcifications. Results The mean age was 29.20 ± 9.53 (16–71), with a large male predominance (91.5%). Follow‐up lasted 55.41 ± 24.87 (12–108) months. The mean Constant score attained was 96.45 ± 4.00 (84–100) on operated shoulders and 98.28 ± 1.81 (93–100) on contralateral ones. Almost all patients (98.69%) were satisfied with the surgical results. Worse outcomes were observed in acromioclavicular joint dislocations of increasing grade (from type III to V , but worse for type IV ), both concerning the Constant score and return to work or sport. The overall incidence of complications was considered low, with the most prevalent being Kirschner wire failure and isolated coracoclavicular ligament calcifications. Conclusion The surgical technique described is an excellent option in the treatment of acute acromioclavicular joint dislocations of Rockwood grades III to V . This is corroborated by the excellent clinical and functional outcomes and the low rate of complications.
机译：目的本研究旨在描述针对此类损伤的外科手术方法，并介绍在一组患者中获得的临床和功能结果。方法这是一项观察性回顾性研究，纳入了153例急性肩锁关节脱位的患者，于1999年至2015年之间进行手术。临床评估包括以下结果：恒定的功能范围，并发症的发生，恢复工作/运动的时间以及满意度指数。将对侧（未受伤）的肩膀用作主观结果的对照。进行放射学评估是为了监测减少的减少，关节退行性改变和锁骨锁骨钙化的迹象。结果平均年龄为29.20±9.53（16–71），其中男性占多数（91.5％）。随访持续55.41±24.87（12-108）个月。手术肩膀的平均恒定得分为96.45±4.00（84–100），对侧肩膀的平均恒定得分为98.28±1.81（93–100）。几乎所有患者（98.69％）对手术结果均满意。在恒定评分和重返工作或运动方面，在等级上升的肩锁关节脱位中观察到更差的结果（从III型到V型，而对于IV型则更差）。并发症的总发生率被认为是低的，最普遍的是克氏针失败和孤立的锁骨韧带钙化。结论所描述的手术技术是治疗RockwoodⅢ〜V级急性肩锁关节脱位的绝佳选择。出色的临床和功能结果以及低并发症发生率证实了这一点。

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