KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ TRẬT KHỚP CÙNG ĐÒN BẰNG VÍT XỐP QUẠ ĐÒN TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Evaluation of the effectiveness of treating grade III-V acromioclavicular dislocation by coracoclavicular Bosworth screw method at VietDuc University Hospital. Method: Cross-sectional descriptive study on 42 patients diagnosed with acute grade III-V acromioclavicular dislocation according to Rookwood stage from January 2018 to the end of March 2024, treated with coracoclavicular screw method at VietDuc University Hospital. The aims of study include: pain level before and after intervention at 3 and 6 months (VAS score); shoulder function score according to Constant-Murley score (CS) before and after intervention at 3 and 6 months; coracoclavicular distance before and after intervention at 3 and 6 months. Results: Coracoclavicular distance (CC) at the time of surgery and after 3 months improved compared to the previous time, however, at 6 months the difference was not statistically significant. Shoulder function according to CS scale had significant improvement at all postoperative time points compared to the previous assessment time point. Older age, higher preoperative CC distance and more severe dislocation were associated with lower level of shoulder function recovery at 6 months postoperatively. Mean pain level gradually decreased over the visits, the difference was statistically significant with p<0.05. Complications that occurred included: subluxation (7.1%); calcification of the coracoclavicular ligament (2.4%) and limited mobility (4.8%). Conclusion: Coracoclavicular cannula screw is an effective method of treating acromioclavicular joint dislocation, with significant pain reduction, coracoclavicular distance reduction, improved shoulder function after surgery and a relatively low complication rate.