González-Velázquez F, Torres-Salazar J, Izeta-Torres V

Language: Spanish
References: 12
Page: 95-99
PDF size: 172.33 Kb.

ABSTRACT

Objective: To compare quality of life in patients with Tossy type III acromioclavicular dislocation treated with the hook-plate ORIF technique, the Weaver & Dunn technique and the Bosworth technique. Material and methods: A cross-sectional analytical survey was conducted from January 2012 to April 2013 in patients with a diagnosis of Tossy type III acromioclavicular dislocation treated surgically with the hook-plate ORIF technique, the Weaver & Dunn technique, and the Bosworth technique. We included patients ages 18 to 70 years old, operated within three weeks after the diagnosis. Quality of life was assessed using the hetero-administered DASH questionnaire once the informed consent was obtained. Results: Forty-seven patients were operated on. They were divided into 3 groups: hook-plate ORIF technique, with 26 patients: Weaver & Dunn technique, 11 patients; and Bosworth technique, 10 patients. Sex and age distribution were similar in all 3 groups, with p = 0.137 and p = 0.252, respectively. Time elapsed after surgery was similar in all 3 groups, with p = 0.051. The hook-plate ORIF technique was the most frequently used one, in 26 surgeries. 96.4% of patients had mild disability and symptoms with the hook-plate ORIF technique, and 100% with the Bosworth and Weaver & Dunn techniques. Conclusions: Quality of life was similar with all 3 surgical techniques and involved mild disability and symptoms. The hook-plate ORIF technique was the most frequently used technique.

REFERENCES

1. Algarín Reyes, Salcedo-Dueñas, Rodríguez-Olguín, Bello-González A, Sancho-Barroso: Luxaciones acromioclavicular grado III con técnica mínimamente invasiva. Acta Ortopédica Mexicana. 2010; 24(5): 317-23.

2. Rockwood, Matsen, Wirth, Lippitt: Hombro. Volumen 1. Trastornos de la articulación acromioclavicular. Marbán; 2006: 521-87.

3. Karlsson J, Arnason H: Acromioclavicular dislocations treated by coracoacromial ligament transfer. ArchOrthop Trauma Surg. 1986; 106: 8-11.

4. Pereira-Graterol E, Álvarez Díaz P, Seijas R, Ares O, Cusco X, Cugat R: Treatment and evolution of grade III acromioclavicular dislocations in soccer player. Knee Surg, Sports Traumatol Arthosc-Shoulder. 2013; 21(7): 1633-5. Doi: 10.1007/s00167-012-2186-0.

5. Cárdenas GA, Mallén TA: Reconstrucción de la articulación acromioclavicular, tratada con procedimiento de Weaver-Dunn aunado al sistema TightRope. Revista de Especialidades Médico-Quirúrgicas. 2011; 16(3): 188-90.

6. Canale T: Cirugía ortopédica Campbell. Luxaciones acromioclaviculares. 10a. edición. España: Elsevier; 2004: 3178-84.

7. Guía técnica para placa clavicular con gancho. Instrumentos e implantes originales para el estudio de la Osteosíntesis-AO ASIF. SYNTHES. 2006.

8. Hervás MT, Navarro CMJ, Peiro S, Rodrigo PJL, López MP, Martínez TI: Versión española del cuestionario DASH. Adaptación transcultural, fiabilidad, validez y sensibilidad a los cambios. Med Clin (Barc). 2006; 127(12): 441-7.

9. Arismendi MA, Jaramillo FJC, Fernández LF, Vallejo DA, Arango MAA: Luxación acromioclavicular aguda: placa gancho versus suturas coracoclaviculares. Rev Col OrTra. 2011; 25(4): 337-44.

10. Concha JM, Quintero JE, Illera JM, Cruz CE, Dazza C: Estabilización de luxaciones agudas tipo III de la articulación acromioclavicular mediante el implante placa gancho. Revista Colombiana de Traumatología y Ortopedia. 2004; 18(3): 27-33.

11. McConnell AJ, Yoo DJ, Zdero R, Schemitsch EH, McKee MD: Methods of operative fixation of the acromio-clavicular joint: a biomechanical comparison. J Orthop Trauma. 2007; 21: 248-53.

12. Sanders B, Ozbaydar M, Lavery K, Warner JJP: Acromioclavicular joint injuries: diagnosis and management. J Am Acad Orthop Sur. 2009; 17: 207-19.