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Clin Shoulder Elbow > Volume 16(2); 2013 > Article
Clinics in Shoulder and Elbow 2013;16(2):115-122.
DOI: https://doi.org/10.5397/CiSE.2013.16.2.115    Published online December 31, 2013.
Coracoclavicular Ligament Augmentation Using Tight-Rope(R) for Acute Acromioclavicular Joint Dislocation: Preliminary Report
Seok Hyun Kweon, Sang Su Choi, Seong In Lee, Jeong Woo Kim, Kwang Mee Kim
1Department of Orthopaedic Surgery, Wonkwang University School of Medicine, Iksan, Korea. serina@wonkwang.ac.kr
2Department of Nursing Science, Chodang University Muan, Chunnam, Korea.
Tight-Rope을 이용한 급성 견봉 쇄골 관절 탈구의 치료 - 예비 보고 -
권석현·최상수·이성인·김정우·김광미
원광대학교 의과대학 정형외과학교실*
초당대학교 간호학교실
Abstract
PURPOSE
The purpose of this study is to analyze the results of acute acromioclavicular joint dislocation treatment with coracoclavicular ligament augmentation using Tight-Rope(R) (Arthrex). MATERIALS AND METHODS: From October 2009 to March 2011, 30 patients with acute acromioclavicular joint dislocation underwent coracoclavicular ligament augmentation using Tight-Rope(R) and were followed up for at least 12 months after surgery. The radiologic results were qualified according to serial plain radiographs, and the clinical results according to University of California - Los Angeles (UCLA) Shoulder Scale, Constant score, and VAS pain score.
RESULTS
Using the UCLA scoring system, excellent results were observed in 22 cases (73%), good results in five cases (17%), fair results in two cases (7%), and a poor result in one case (3%). The average Constant score was 92.5+/-7.5. According to radiologic results, anatomical reduction was achieved in 26 cases, and two cases showed a moderate loss of reduction, and two cases showed complete re-dislocation. Clinical results for patients with re-dislocation were unsatisfactory and reoperation was required.
CONCLUSION
Coracoclavicular ligament augmentation using Tight-Rope(R) is a good option providing reliable functional results in patients with acute acromioclavicular joint dislocation.
Key Words: Acute acromioclavicular joint dislocation; Coracoclavicular ligament augmentation; Tight-Rope(R)


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