Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Surgical Technique
2.2.1. Presurgical Measurement
2.2.2. Installation and Anesthesia
2.2.3. Mini-Open Reduction
2.2.4. Arthroscopic Approaches
2.2.5. Arthroscopic Exploration and Exposure
2.2.6. Fixation
2.2.7. Postoperative Care
2.2.8. Evaluation Criteria and Follow-Up
2.3. Statistical Analysis
3. Results
3.1. Functional Outcomes
3.2. Radiological Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Final ROM | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Patient | Age | Sex | Type of Injury | JOA-S | UCLA-S | VAS-P | VAS-S | AE | ER | IR | Bone Union (m) | COMPLs |
1 | 50 | M | fall | 94.5 | 33 | 0 | 85 | 170 | 80 | Th7 | 3 | no |
2 | 24 | M | traffic accident | 100 | 35 | 0 | 90 | 180 | 70 | Th10 | 7 | no |
3 | 56 | F | fall | 100 | 35 | 0 | 95 | 180 | 80 | Th4 | 5 | no |
4 | 44 | M | bicycle accident | 100 | 35 | 0 | 100 | 170 | 70 | Th7 | 5 | no |
5 | 48 | M | bicycle accident | 92 | 33 | 2 | 90 | 130 | 50 | L5 | 3 | no |
6 | 58 | M | bicycle accident | 98 | 35 | 0 | 90 | 180 | 80 | Th4 | 7 | no |
Coracoclaviclar Distance (mm) | Dog Bone Distance (mm) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Patient | 1 w | 3 m | 6 m | 9 m | 12 m | 1 w | 3 m | 6 m | 9 m | 12 m |
1 | 8.0 | 7.3 | 8.3 | 8.0 | 8.6 | 33.9 | 37.5 | 36.3 | 36.7 | 37.0 |
2 | 4.4 | 4.70 | 5.4 | 5.8 | 6.3 | 32.1 | 30.1 | 31.4 | 30.9 | 32.3 |
3 | 4.4 | 4.8 | 5.0 | 5.2 | 4.9 | 25.3 | 27.2 | 27.2 | 27.7 | 28.7 |
4 | 10.0 | 11.4 | 12.3 | * | 13.3 | 48.5 | 50.8 | 53.2 | * | 51.9 |
5 | 5.4 | 8.0 | 8.7 | 7.7 | 8.3 | 42.7 | 42.2 | 42.1 | 42.3 | 44.1 |
6 | 6.6 | 8.9 | 9.5 | 10.1 | 10.3 | 43.7 | 45.1 | 45.9 | 46.1 | 45.7 |
mean | 6.5 ± 2.0 | 7.5 ± 2.5 | 8.2 ± 2.7 | 73 ± 1.9 | 8.6 ± 3.0 | 37.7 ± 8.7 | 38.8 ± 9.0 | 39.3 ± 9.6 | 36.7 ± 7.7 | 40.0 ± 8.8 |
Bone Hole Size (mm) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Superior Coracoid | Inferior Clavicle | |||||||||
Patient | 1 w | 3 m | 6 m | 9 m | 12 m | 1 w | 3 m | 6 m | 9 m | 12 m |
1 | 2.4 | 4.1 | 4.5 | 5.5 | 5.8 | 2.4 | 4.2 | 4.6 | 6.0 | 6.1 |
2 | 2.4 | 2.8 | 3.0 | 3.2 | 4.6 | 2.4 | 4.5 | 5.6 | 4.8 | 7.0 |
3 | 2.4 | 3.8 | 3.9 | 4.0 | 4.2 | 2.4 | 5.8 | 5.7 | 5.5 | 5.8 |
4 | 2.4 | 3.0 | 3.5 | * | 5.0 | 2.4 | 3.0 | 3.5 | * | 5.0 |
5 | 2.4 | 4.3 | 4.6 | 4.6 | 5.0 | 2.4 | 4.1 | 3.8 | 4.4 | 4.4 |
6 | 2.4 | 4.5 | 5.5 | 5.1 | 5.6 | 2.4 | 4.5 | 6.3 | 6.4 | 5.6 |
mean | 2.4 | 3.7 ± 0.7 | 4.2 ± 0.9 | 4.9 ± 0.9 a | 5.0 ± 0.6 a | 2.4 | 4.3 ± 0.9 | 4.9 ± 1.1 | 5.4 ± 0.8 | 5.6 ± 0.9 a |
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Saigo, Y.; Morikawa, D.; Itoigawa, Y.; Uehara, H.; Kawasaki, T.; Kaketa, T.; Shibuya, K.; Tsurukami, H.; Hatae, F.; Yoshimura, Y.; et al. Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury. J. Clin. Med. 2024, 13, 1773. https://doi.org/10.3390/jcm13061773
Saigo Y, Morikawa D, Itoigawa Y, Uehara H, Kawasaki T, Kaketa T, Shibuya K, Tsurukami H, Hatae F, Yoshimura Y, et al. Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury. Journal of Clinical Medicine. 2024; 13(6):1773. https://doi.org/10.3390/jcm13061773
Chicago/Turabian StyleSaigo, Yoshimasa, Daichi Morikawa, Yoshiaki Itoigawa, Hirohisa Uehara, Takayuki Kawasaki, Takefumi Kaketa, Kenta Shibuya, Hironori Tsurukami, Fumitoshi Hatae, Yasutaka Yoshimura, and et al. 2024. "Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury" Journal of Clinical Medicine 13, no. 6: 1773. https://doi.org/10.3390/jcm13061773
APA StyleSaigo, Y., Morikawa, D., Itoigawa, Y., Uehara, H., Kawasaki, T., Kaketa, T., Shibuya, K., Tsurukami, H., Hatae, F., Yoshimura, Y., Yoshida, K., & Ishijima, M. (2024). Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury. Journal of Clinical Medicine, 13(6), 1773. https://doi.org/10.3390/jcm13061773