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Clinical outcomes of arthroscopic assissted fixation of acute high grade acromioclavicular joint disruption
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Hossam Fathy Mahmoud Mohamed
Staff Zu Site
Abstract In Staff Site
Journal:
journal of orthopaedics Elsevier
Volume:
Keywords :
Clinical outcomes , arthroscopic assissted fixation , acute
Abstract:
Background: Management of high grade acute acromioclavicular (AC) joint dislocation is considered a surgical dilemma. Open methods of fixation are the gold standard but the morbidities are frequent. The goal of this study was to evaluate the results of arthroscopic fixation of acute high grade (AC) joint dislocation. Methods: A series of 24 patients with acute high grade acromioclavicular joint dislocation were fixed arthroscopically using TightRope device. The study was done between February 2013 and February 2017. The functional outcomes were assessed using Constant-Murley score and University of California at Los Angeles shoulder (UCLA) scale. The preoperative and postoperative means of coraco-clavicular distance were calculated and used for radiological assessment. P-value < o.o5 was statistically significant. Results: The mean followed up time was 23.25 ± 7.1 (12–35) months. There was highly significant improvement in the Constant-Murley score and (UCLA) scale at the end of the follow up period. The coraco-clavicular distance was improved from 21.7 ± 3.1mm preoperative to 10.17 ± 2.3mm postoperative. There were two complications, one case had over correction and the other had mild transient post-operative burning pain along the course of ulnar nerve. Conclusion: Arthroscopic fixation of acutehighgrade (AC) joint dislocation is safe, minimally invasive technique with satisfactory functional outcomes and low morbidities provided that it is done by surgeons skilled in shoulder arthroscopy.
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Department Related Publications
Mohamed Anwar Abdel Haleem, "التهاب العصبى للعصب ما فوق عظمة اللوح نتيجة لاختناق العصب من مجراة ", لايوجد, 1900
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Mohamed Anwar Abdel Haleem, "التصوير المغناطيسي من رسم مفصل الركبة في حالات اصابة الغضروف الهلالي ", لايوجد, 1900
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Abdelsalam Eid Abdelsalam, "Dorsal closing wedge osteotomy for the treatment of Freiberg's infarction. The short term results of 11 patients.", Faculty of Medicine, Zagazig University, Egypt, 2005
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