The Correlation Between Coracoid Tunnel Dilatation and Loss of Reduction After Arthroscopic Acromioclavicular Fixation Using Tightrope System, A CT Based Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 主要终点
- Coracoid tunnel diameter difference between immediate postoperative and final follow up
研究概览
简要总结
studying coracoid tunnel widening after arthroscopic fixation of acute acromioclavicular joint (ACJ) dislocation using TightRope system and its correlation with loss of reduction and the functional scores.
详细描述
Abstract Purpose: To detect coracoid tunnel widening after arthroscopic fixation of acute acromioclavicular joint (ACJ) dislocation using TightRope system and its correlation with loss of reduction and the functional scores.
Methods: From July 2016 to Dec 2018, a prospective study was performed at our hospital. Twenty-three patients with acute grade III-V ACJ dislocation were included in the study. Arthroscopic double tight-rope repair of the ACJ was performed. Coracoid tunnel widening was measured by computed tomography (CT) and coraco-clavicular distance was measured on the x-ray immediately post-operative and at 12 months. Constant Shoulder Score, Oxford Shoulder Score, Nottingham Clavicle Score and Visual analogue scale were used as outcome measures at 12 months.
Level of evidence IV Keywords Acute acromioclavicular joint injury . TightRope . Coracoid tunnel dilatation. Loss of reduction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 60 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with acute (≤ 3 weeks after injury) Rockwood grade III-V ACJ dislocation
排除标准
- •Patients with associated coracoid fracture, associated rotator cuff tears or glenohumeral arthritis
结局指标
主要结局
Coracoid tunnel diameter difference between immediate postoperative and final follow up
时间窗: 1 year
Radiological outcome using CT scans
Coraco-clavicular distance immediate postoperative and at final follow up
时间窗: 1 year
Radiological outcome using X-rays
次要结局
- Oxford Shoulder score, a questionnaire of 12 questions each scores from 1 to 5. 1 being the fewest symptoms, 5 being the worst. The total score is 60 marks, the higher the score the worse the outcomes(1 year)
- Constant-Murley shoulder score. Ranges from 0 representing worst outcome to 100 representing best outcome(1 year)
- Disability of arm shoulder and Hand score ( DASH score) highest is 100 which represents worst outcome while lowest is 0 representing best possible outcome(1 year)
研究者
Mohamed Refaat Waly
Principal investigator, Consultant of Trauma and Orthopedics
Cairo University