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Clin Shoulder Elbow > Volume 16(2); 2013 > Article
Clinics in Shoulder and Elbow 2013;16(2):115-122.
DOI:    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.
2Department of Nursing Science, Chodang University Muan, Chunnam, Korea.
Tight-Rope을 이용한 급성 견봉 쇄골 관절 탈구의 치료 - 예비 보고 -
원광대학교 의과대학 정형외과학교실*
초당대학교 간호학교실
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.
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.
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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