Open Access

Modified closed‑loop double‑endobutton technique for repair of rockwood type III acromioclavicular dislocation

  • Authors:
    • Lei Zhang
    • Xin Zhou
    • Ji Qi
    • Yan Zeng
    • Shaoqun Zhang
    • Gang Liu
    • Ruiyue Ping
    • Yikai Li
    • Shijie Fu
  • View Affiliations

  • Published online on: November 10, 2017     https://doi.org/10.3892/etm.2017.5487
  • Pages:940-948
  • Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: HTML 0 views | PDF 0 views
0

Abstract

Acromioclavicular dislocation (ACD) is a common injury. According to the Rockwood classification, ACD is classified into six types (type I‑VI); however, for type III injuries, it remains controversial whether or not operative treatment should be applied. Numerous studies have advocated early surgical treatment to ensure early rehabilitation activities. Thus, the present study aimed to investigate a modified closed‑loop double‑endobutton technique (MCDT), that may be used to repair Rockwood type III ACD. In the current study, 61 patients with Rockwood type III ACD were enrolled during a period of 5 years at the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University. Patients were divided into three groups according to the surgical method used, the MCDT group (n=20), the common closed‑loop double‑endobutton technique (CCDT) group (n=21), and the clavicular hook plate fixation (CHPF) group (n=20). Preoperative and intraoperative information were recorded. Furthermore, the functional scores of injured shoulder were evaluated prior to surgery and following surgery with a 1‑year follow‑up. Among the three groups, postoperative functional scores were significantly more improved compared with those prior to surgery (P<0.05), and no significant difference was observed regarding the coracoclavicular interval with the 1‑year follow‑up (P>0.05). Postoperative functional scores in the MCDT and CCDT groups were significantly more improved compared those in the CHPF group (P<0.05). In addition, the duration of surgery in the MCDT group was significantly shorter compared with that in the CCDT group (P<0.05). Furthermore, compared with the CHPF group, the incision length was significantly shorter with reduced hemorrhage in the MCDT group (P<0.05). In conclusion, the results of the current study suggest that MCDT is more simple, convenient and efficient compared with CCDT, and is worth popularizing.

Related Articles

Journal Cover

January 2018
Volume 15 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

2016 Impact Factor: 1.261
Ranked #50/128 Medicine Research and Experimental
(total number of cites)

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
APA
Zhang, L., Zhou, X., Qi, J., Zeng, Y., Zhang, S., Liu, G. ... Fu, S. (2018). Modified closed‑loop double‑endobutton technique for repair of rockwood type III acromioclavicular dislocation. Experimental and Therapeutic Medicine, 15, 940-948. https://doi.org/10.3892/etm.2017.5487
MLA
Zhang, L., Zhou, X., Qi, J., Zeng, Y., Zhang, S., Liu, G., Ping, R., Li, Y., Fu, S."Modified closed‑loop double‑endobutton technique for repair of rockwood type III acromioclavicular dislocation". Experimental and Therapeutic Medicine 15.1 (2018): 940-948.
Chicago
Zhang, L., Zhou, X., Qi, J., Zeng, Y., Zhang, S., Liu, G., Ping, R., Li, Y., Fu, S."Modified closed‑loop double‑endobutton technique for repair of rockwood type III acromioclavicular dislocation". Experimental and Therapeutic Medicine 15, no. 1 (2018): 940-948. https://doi.org/10.3892/etm.2017.5487