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Original Article 


Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations

Enes Uluyardimci, Mesut Tahta, Cetin Isik.

Abstract
ABSTRACT
Objectives: In this study, it was aimed to evaluate the mid-term clinical and radiological outcomes of coracoclavicular (CC) ligament reconstruction using knotless ZipTight fixation system in acute acromioclavicular (AC) joint dislocations.
Methods: Twenty-seven patients who underwent surgery with ZipTight (Zimmer Biomet, Parsippany, NJ) fixation system were included in this retrospective clinical study. Twenty-three of the patients are male; 4 of them were female and the mean age was 32.9 9.8. Ten patients had Rockwood type III and 17 patients had type V acute AC joint dislocation. Patients were evaluated clinically with Constant score, American Shoulder and Elbow Surgeons (ASES) score and visual analogue scale (VAS) pain score at the final follow-up. The radiologic assessment included standard anteroposterior views of the coracoclavicular (CC) distances.
Results: The mean follow-up time was 36.2 13.6 months. At the last follow-up, mean Constant score was 91.6 6.18; the ASES score was 89.9 6.3 and the VAS pain score was 0.33 0.62. When they were divided into two subgroups as type III and type V AC joint dislocations, the two groups were found to be similar in terms of clinical outcomes (p > 0.889). CC distance measurements obtained in radiographic evaluation were measured as 20.04 4.84 mm at preoperative period; it was 7.55 0.78 mm in the early postoperative period and 7.76 0.79 mm at the last follow-up. A statistically significant improvement was observed in the measurements in the early postoperative period compared to the measurements at preoperative period (p = 0.001). There was no significant difference between the measurements in the early postoperative period and those at the last follow-up (p = 0.001).
Conclusions: In the treatment of acute AC joint dislocations, successful clinical and radiological outcomes can be obtained in the mid -term with CC ligament reconstruction using ZipTight fixation system.

Key words: Acromioclavicular dislocation; coracoclavicular; Rockwood; ZipTight


 
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Pubmed Style

Uluyardimci E, Tahta M, Isik C. Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. doi:10.5455/handmicrosurg.41255


Web Style

Uluyardimci E, Tahta M, Isik C. Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. http://handmicrosurgeryjournal.com/?mno=41255 [Access: February 23, 2021]. doi:10.5455/handmicrosurg.41255


AMA (American Medical Association) Style

Uluyardimci E, Tahta M, Isik C. Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. doi:10.5455/handmicrosurg.41255



Vancouver/ICMJE Style

Uluyardimci E, Tahta M, Isik C. Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. doi:10.5455/handmicrosurg.41255



Harvard Style

Uluyardimci, E., Tahta, . M. & Isik, . C. (0) Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. doi:10.5455/handmicrosurg.41255



Turabian Style

Uluyardimci, Enes, Mesut Tahta, and Cetin Isik. 0. Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. doi:10.5455/handmicrosurg.41255



Chicago Style

Uluyardimci, Enes, Mesut Tahta, and Cetin Isik. "Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations." doi:10.5455/handmicrosurg.41255



MLA (The Modern Language Association) Style

Uluyardimci, Enes, Mesut Tahta, and Cetin Isik. "Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations." doi:10.5455/handmicrosurg.41255



APA (American Psychological Association) Style

Uluyardimci, E., Tahta, . M. & Isik, . C. (0) Mid-term clinical and radiological outcomes of coracoclavicular ligament reconstruction with ZipTight Fixation System in the treatment of acute acromioclavicular joint dislocations. doi:10.5455/handmicrosurg.41255








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