Repair of sternoclavicular joint dislocations with FiberWire®.
Arch Orthop Trauma Surg
; 137(3): 341-345, 2017 Mar.
Article
en En
| MEDLINE
| ID: mdl-28110364
ABSTRACT
PURPOSE:
Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.METHODS:
Five consecutive male patients with a median age of 27 (range 20-49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Open reduction and surgical fixation were achieved by a modified figure-of-eight sutures using Fiberwire®. In anterior dislocations, an additional reconstruction of the costoclavicular ligament was performed. Median follow-up was 11 months (range 9-48) and included clinical evaluation and the use of the DASH questionnaire.RESULTS:
Open surgical reduction and SCJ repair were successfully achieved in all patients without complications. Repair resulted in very good functional outcomes in all five patients with DASH scores of 0, 8 (n = 3) and 5, 8 (n = 2), respectively.CONCLUSIONS:
The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Articulación Esternoclavicular
/
Hilos Ortopédicos
/
Luxaciones Articulares
/
Reducción Abierta
/
Fijación Interna de Fracturas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Año:
2017
Tipo del documento:
Article
País de afiliación:
Suiza