A Novel Fluoroscopic View for Positioning the AO Clavicle Hook Plate Decreases Its Associated in situ Complications
Journal of the Korean Shoulder and Elbow Society
;
: 25-32, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-770738
ABSTRACT
BACKGROUND:
The goal of this study was to evaluate whether a modified fluoroscopic technique for positioning a hook plate affected the clinical results of treating Neer type II distal clavicle fractures and Rockwood type V acromioclavicular (AC) joint separations with this device.METHODS:
The study was a retrospective consecutive case series with data analysis. Sixty-four patients with a Neer type II distal clavicle fracture or a Rockwood type V AC joint injury treated between March 2009 and June 2013 were divided into 2 groups traditional fluoroscopic technique (traditional view, 31 patients) or modified fluoroscopic technique ('hook' view, 33 patients). A visual analogue scale (VAS) score, the modified University of California-Los Angeles (UCLA) shoulder scale score, and radiographic osteolysis were the main outcome measures.RESULTS:
The traditional group included a significantly larger number of patients with acromial osteolysis than the hook view group 23 patients (74.2%) vs. 11 patients (33.3%), respectively (p=0.01). Before plate removal, the hook group reported less pain and higher UCLA shoulder scale scores than the traditional group average VAS score, 1.55 vs. 2.26, respectively; average UCLA score, 30.88 vs. 27.06, respectively. However, there was no significant difference after plate removal.CONCLUSIONS:
The hook view allows more accurate bending of the hook plate around the contour of the acromion, resulting in decreased osteolysis, decreased pain, and better function with the plate in situ.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteólise
/
Ombro
/
Articulação Acromioclavicular
/
Acrômio
/
Estudos Retrospectivos
/
Estatística como Assunto
/
Avaliação de Resultados em Cuidados de Saúde
/
Clavícula
/
Luxações Articulares
/
Articulações
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of the Korean Shoulder and Elbow Society
Ano de publicação:
2016
Tipo de documento:
Artigo
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