34-197
Complicaciones en la cirugía de las luxaciones acromioclaviculares. Estudio comparativo de dos técnicas quirúrgicas.
Complications after surgery in acromioclavicular dislocation. A comparative study of t w o surgicai techniques
F. LÓPEZ-OLIVA MUÑOZ. J.J. ASENJO SIGUERO, B. GARCIA DE LAS HERAS. SERVICIO DE TRAUMATOLOGÍA. CENTRO DE REHABILITACIÓN FREMAP. MADRID
Recepción:
12/09/2008
Aceptación:
12/09/2008
Publicación:
12/09/2008
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Resumen (ES)
This study compared the clinical and radiographic
outcome of two surgical techniques for acute grade III acromioclavicular
dislocation: Phemister (30 patients) and Bosworth
(16 patients). There is no significative differences between the
two groups related to the preoperative assesment. Only the
follow-up period was longer in the Phemister group.
Concernding results, all patients recovered complete movility
and returned to work. There was no significative differences in
this evaluation. The Phemister group shows a higher incidence
of complications (75%) than the Bosworth group (13%), mainly
problems relative to the implant and the surgical approach. The
screw employed in the Bosworth technique assure good functional
results with lower risk of complications. In both procedures
is necessary to remove the hardware in a second operation.
The use of a bioabsorbable implants should be considered in further
studies.
outcome of two surgical techniques for acute grade III acromioclavicular
dislocation: Phemister (30 patients) and Bosworth
(16 patients). There is no significative differences between the
two groups related to the preoperative assesment. Only the
follow-up period was longer in the Phemister group.
Concernding results, all patients recovered complete movility
and returned to work. There was no significative differences in
this evaluation. The Phemister group shows a higher incidence
of complications (75%) than the Bosworth group (13%), mainly
problems relative to the implant and the surgical approach. The
screw employed in the Bosworth technique assure good functional
results with lower risk of complications. In both procedures
is necessary to remove the hardware in a second operation.
The use of a bioabsorbable implants should be considered in further
studies.
Palabras clave (ES):
Tratamiento
Luxaciones
Acromioclavicular
Articulación
Hombro
Clavícula
Complicaciones
Resumen (EN)
This study compared the clinical and radiographic
outcome of two surgical techniques for acute grade III acromioclavicular
dislocation: Phemister (30 patients) and Bosworth
(16 patients). There is no significative differences between the
two groups related to the preoperative assesment. Only the
follow-up period was longer in the Phemister group.
Concernding results, all patients recovered complete movility
and returned to work. There was no significative differences in
this evaluation. The Phemister group shows a higher incidence
of complications (75%) than the Bosworth group (13%), mainly
problems relative to the implant and the surgical approach. The
screw employed in the Bosworth technique assure good functional
results with lower risk of complications. In both procedures
is necessary to remove the hardware in a second operation.
The use of a bioabsorbable implants should be considered in further
studies.
outcome of two surgical techniques for acute grade III acromioclavicular
dislocation: Phemister (30 patients) and Bosworth
(16 patients). There is no significative differences between the
two groups related to the preoperative assesment. Only the
follow-up period was longer in the Phemister group.
Concernding results, all patients recovered complete movility
and returned to work. There was no significative differences in
this evaluation. The Phemister group shows a higher incidence
of complications (75%) than the Bosworth group (13%), mainly
problems relative to the implant and the surgical approach. The
screw employed in the Bosworth technique assure good functional
results with lower risk of complications. In both procedures
is necessary to remove the hardware in a second operation.
The use of a bioabsorbable implants should be considered in further
studies.
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