改良weaver-dunn手术技术治疗肩锁关节脱位的疗效

Jonatas Brito de Alencar Neto, C. J. Souza, Marcel Rolim Queiroz, Fernando Antonio Façanha Filho, Márcio Bezerra Gadelha Lopes, Marcos Antônio Silva Girão, M. Cavalcante, Luiz Holanda Pinto Neto
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摘要

目的:评价改良wever - dunn技术治疗急性肩锁关节脱位的手术疗效。方法:回顾性病例系列研究(证据级别为IV级)基于20例患者的医疗记录,这些患者参加了术后25周的随访,其中使用UCLA评分进行评估并提交放射控制。本次随访是由于采用改良的Weaver-Dunn技术对肩锁关节脱位进行手术治疗,将两个5.5mm-Peek Zip®锚钉固定在喙突上,并在锁骨上绑扎,并将喙肩峰韧带转移到锁骨远端。结果:随访25周,所有患者功能恢复满意,其中优70%,良30%。然而,观察到肩锁关节复位损失的高发生率,对应于20例监测中的6例。恢复日常活动的平均时间为20.7周;最短的是16周,最长的是30周。结论:在本研究中,我们发现所有接受上述技术的患者均具有低发病率和令人满意的功能结果(优秀和良好),成功地恢复了日常活动。
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Functional results of surgical treatment for acromioclavicular joint dislocation using the modified weaver-dunn surgical technique
Objective: To evaluate the functional outcome of patients who underwent surgical treatment using the modified Weaver-Dunn technique for the treatment of acute acromioclavicular dislocation. Method: Retrospective case series study (level of evidence IV) based on their view of medical records of 20 patients who participated in a 25-week postoperative follow-up, in which they were assessed using the UCLA score and submitted to radiological control. This follow-up was due to surgical treatment for acromioclavicular dislocation using the modified Weaver-Dunn technique, with two 5.5mm-Peek Zip® anchors fixed to the coracoid process, with ties on the clavicle, and transfer of the coracoacromial ligament to the distal clavicle. Results: The patients were followed-up for 25 weeks, and all presented satisfactory functional results, with 70% considered excellent and 30% classified as good. However, a high rate of reduction loss of the acromioclavicular joint was observed, which corresponded to 6 of the 20 cases monitored. The average time before returning to routine activities was 20.7 weeks; the shortest was 16 weeks, and the longest, 30 weeks. Conclusion: In the present study, we found that all patients who were submitted to the described technique presented a low level of morbidity and satisfactory functional results (excellent and good), successfully returning to their everyday activities.
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