KẾT QUẢ ĐIỀU TRỊ TRẬT KHỚP CÙNG ĐÒN BẰNG PHẪU THUẬT TÁI TẠO DÂY CHẰNG QUẠ ĐÒN QUA NỘI SOI HỖ TRỢ

Abstract

Purposes: The purpose of this study was to report the clinical results after arthroscopically assisted anatomic coracoclavicular ligament reconstructionin patients with Rockwood grade IIIB to grade V acromioclavicular joint dislocations. Methods: Prospective description: Sixty-four patients (mean age, 40 years) suffering from acromioclavicularjoint instability underwentanatomic coracoclavicular ligament reconstruction using autologous semitendinosus graft. The acromioclavicular ligament complex was repair with fiber wire suture. The mean delay between injury and surgery was 12 days. After a minimum follow-up of 1 year (mean,41 months), patients were evaluated radiologically and clinically using the Vas, Constant, patient satisfaction outcome measures. Concomitant glenohumeral pathologies and their treatmentswere record. Results: Theconcomitant glenohumeral pathologieswere treated arthroscopically in 17 patients (26,6%): 16 labral tears, 3rotator cuff partialtears. At last follow-up, 13 patients (12%) experienced recurrent superior acromioclavicular joint instability: 1 dislocation and12 subluxations. The presence of post-surgicalhorizontal instability was absented by means of axillary X-ray view. There was no significant correlation between concomitant glenohumeral pathologies and clinical outcome. The Constant score increased from 50,86 to 92,53, and the mean VASdecreased from 2,88 to 1,12. At last follow-up, all patients were satisfied with clinical and cosmetic results. Conclusions: Arthroscopically assisted treatment allows successful coracoclavicular ligament reconstruction and simultaneous diagnosis and treatment of associated glenohumeral lesions.