ISSN 2458-7834
 

Original Article 


Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years

Murat Saylik, Kemal Gokkus.

Abstract
Abstract
Objective.
Initially performed as open surgery, arthroscopic applications of distal clavicle excision (DCE) have gained prevalence in recent years. Literature reviews about the long-term results give no clear indication that one method is superior to the other. This study aims to compare the follow-up results of patients treated with arthroscopic and open DCE for more than five years and to detect the superiority of each method.
Material and Method.
The study involved 328 patients treated with DCE between February 2008 and April 2017. One hundred and fourteen patients (66 male and 48 female; 81 arthroscopic and 33 open surgery), who had their records available and underwent no other surgery than DCE, were included in the study. The Disability of the Arm, Shoulder, and Hand (DASH) score and Visual Analogue Scale (VAS) were used to assess post-DCE shoulder functions and pain, respectively. Within the study's scope, surgery duration, excision extent, complications (frozen shoulder, hematoma, surgical site infection, and instability), and revisions were compared.
Results.
In the >5-year follow-up process, no statistically significant difference was observed between pre-DCE DASH and VAS values or between post-DCE DASH and VAS values of the two groups, one involving 32 patients who underwent open surgery and the other involving 82 patients treated with arthroscopic surgery. However, there was a statistically significant difference between the pre- and post-DCE DASH and VAS scores of both groups, and it was observed that both surgical methods were effective. No statistically significant difference was observed between the two groups regarding the surgery duration. Arthroscopic DCE was measured to be 4.70 mm on average, while the average measure for open surgery was 5.53 mm, which indicated a statistically significant difference between the two groups. However, no significant association was observed between the excision extent and the DASH and VAS scores. Furthermore, no significant difference was observed between complication and revision rates.
Conclusion.
In the >5-year follow-up of patients who underwent arthroscopic or open DCE due to their acromioclavicular joint osteoarthritis, which could not be treated with conservative treatment, no statistically significant difference was observed in the two groups' post-DCE DASH scores, VAS scores, complication rates, and revision rates. There was, however, a statistically significant difference between both groups' pre- and post-DCE VAS and DASH scores, and both methods were effective.

Key words: Acromioclavicular, Distal Clavicle Excision, Arthroscopic, Open


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Murat Saylik
Articles by Kemal Gokkus
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Saylik M, Gokkus K. Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. Hand Microsurg. 2022; 11(3): 118-126. doi:10.5455/handmicrosurg.114389


Web Style

Saylik M, Gokkus K. Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. https://handmicrosurgeryjournal.com/?mno=114389 [Access: January 04, 2023]. doi:10.5455/handmicrosurg.114389


AMA (American Medical Association) Style

Saylik M, Gokkus K. Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. Hand Microsurg. 2022; 11(3): 118-126. doi:10.5455/handmicrosurg.114389



Vancouver/ICMJE Style

Saylik M, Gokkus K. Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. Hand Microsurg. (2022), [cited January 04, 2023]; 11(3): 118-126. doi:10.5455/handmicrosurg.114389



Harvard Style

Saylik, M. & Gokkus, . K. (2022) Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. Hand Microsurg, 11 (3), 118-126. doi:10.5455/handmicrosurg.114389



Turabian Style

Saylik, Murat, and Kemal Gokkus. 2022. Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. Hand and Microsurgery, 11 (3), 118-126. doi:10.5455/handmicrosurg.114389



Chicago Style

Saylik, Murat, and Kemal Gokkus. "Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years." Hand and Microsurgery 11 (2022), 118-126. doi:10.5455/handmicrosurg.114389



MLA (The Modern Language Association) Style

Saylik, Murat, and Kemal Gokkus. "Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years." Hand and Microsurgery 11.3 (2022), 118-126. Print. doi:10.5455/handmicrosurg.114389



APA (American Psychological Association) Style

Saylik, M. & Gokkus, . K. (2022) Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years. Hand and Microsurgery, 11 (3), 118-126. doi:10.5455/handmicrosurg.114389





Most Viewed Articles
  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract & References » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract & References » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract & References » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract & References » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract & References » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Most Cited Articles
  • The rise of wide awake hand surgery - Contribution from Turkey
    Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari
    Hand Microsurg. 2018; 7(3): 125-134
    » Abstract » doi: 10.5455/handmicrosurg.299709
    Cited : 7 times [Click to see citing articles]

  • Giant lipomas of the hand
    Gokce Yildiran, Osman Akdag, Mehtap Karamese, Muhammed Nebil Selimoglu, Zekeriya Tosun
    Hand Microsurg. 2015; 4(1): 8-11
    » Abstract & References » doi: 10.5455/handmicrosurg.175443
    Cited : 4 times [Click to see citing articles]

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058
    Cited : 3 times [Click to see citing articles]

  • Upper extremity tumors
    Levent Eralp , Halil Buldu
    Hand Microsurg. 2013; 2(3): 105-114
    » Abstract & References » doi: 10.5455/handmicrosurg.164446
    Cited : 3 times [Click to see citing articles]

  • Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report
    Mehmet Unal, Eren Cansu, Hakan Cift
    Hand Microsurg. 2016; 5(2): 88-91
    » Abstract » doi: 10.5455/handmicrosurg.193633
    Cited : 3 times [Click to see citing articles]