59-297
Resultados de la reparación ligamentosa córacoclavicular con el sistema Acu-Sinch, en lesiones asociadas a fractura del extremo distal de la clavícula
Outcomes of the coracoclavicular ligament repair with the Acu-Sinch system in associated injuries of distal clavicle fractures
ARABÍ- SOLIVERES A, ESCRIVÀ-LLORET A, GREGORI-ROIG A, FURIÓ-SANCHIS L, PASTOR-FERNÁNDEZ E, MIFSUT-MIEDES D SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARI FRANCESC DE BORJA, GANDIA, VALENCIA
Recepción:
16/04/2024
Aceptación:
16/04/2024
Publicación:
16/04/2024
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Resumen (ES)
Neer type IIb distal clavicle fractures are considered unstable because the proximal fragment is detached from the
coracoclavicular ligaments. Several fixation techniques have been described: hook plate, distal locking plate,
coracoclavicular screws, transacromial Kirschner wires, suture anchors, ligamentous augmentation), however, these are
not without disadvantages, such as nonunion, osteoporosis, osteosynthesis failure or delayed union. The aim of this study
is to describe the effect of the anchor suture repair Acu-Sinch in distal clavicle fractures associated coracoclavicular
ligament rupture. Methods: A descriptive retrospective study, from 2017 to 2022. 14 patients with distal clavicle fracture
and coracoclavicular injury were treated with open reduction and internal fixation with locking distal plate and suture
anchor Acu-Sinch. Primary endpoints we reviewed are Constant Score, duration of surgery, time until surgery,
development of postoperative complications, if postoperative rehabilitation is undergone, and time of follow up. Results:
Mean average of Constant Score was 88,43, the maximum score being 100 and the minimum 37. 11 out of the 14 patients
reached a total score >90. In the different sections of Constant score, activities of daily living had a mean of 18,07 over 20,
range of motion had a mean of 36,29 over 40 and strength had a mean of 21,50 over 25. Conclussion: Locking distal plate
and suture anchor Acu-Sinch provide positive results thanks to the increased stability to distal clavicle fractures associated
with coracoclavicular injury.
coracoclavicular ligaments. Several fixation techniques have been described: hook plate, distal locking plate,
coracoclavicular screws, transacromial Kirschner wires, suture anchors, ligamentous augmentation), however, these are
not without disadvantages, such as nonunion, osteoporosis, osteosynthesis failure or delayed union. The aim of this study
is to describe the effect of the anchor suture repair Acu-Sinch in distal clavicle fractures associated coracoclavicular
ligament rupture. Methods: A descriptive retrospective study, from 2017 to 2022. 14 patients with distal clavicle fracture
and coracoclavicular injury were treated with open reduction and internal fixation with locking distal plate and suture
anchor Acu-Sinch. Primary endpoints we reviewed are Constant Score, duration of surgery, time until surgery,
development of postoperative complications, if postoperative rehabilitation is undergone, and time of follow up. Results:
Mean average of Constant Score was 88,43, the maximum score being 100 and the minimum 37. 11 out of the 14 patients
reached a total score >90. In the different sections of Constant score, activities of daily living had a mean of 18,07 over 20,
range of motion had a mean of 36,29 over 40 and strength had a mean of 21,50 over 25. Conclussion: Locking distal plate
and suture anchor Acu-Sinch provide positive results thanks to the increased stability to distal clavicle fractures associated
with coracoclavicular injury.
Palabras clave (ES):
fracturas
acu-sinch
sutura
anclaje
distal
clavícula
de
inestables
Resumen (EN)
Neer type IIb distal clavicle fractures are considered unstable because the proximal fragment is detached from the
coracoclavicular ligaments. Several fixation techniques have been described: hook plate, distal locking plate,
coracoclavicular screws, transacromial Kirschner wires, suture anchors, ligamentous augmentation), however, these are
not without disadvantages, such as nonunion, osteoporosis, osteosynthesis failure or delayed union. The aim of this study
is to describe the effect of the anchor suture repair Acu-Sinch in distal clavicle fractures associated coracoclavicular
ligament rupture. Methods: A descriptive retrospective study, from 2017 to 2022. 14 patients with distal clavicle fracture
and coracoclavicular injury were treated with open reduction and internal fixation with locking distal plate and suture
anchor Acu-Sinch. Primary endpoints we reviewed are Constant Score, duration of surgery, time until surgery,
development of postoperative complications, if postoperative rehabilitation is undergone, and time of follow up. Results:
Mean average of Constant Score was 88,43, the maximum score being 100 and the minimum 37. 11 out of the 14 patients
reached a total score >90. In the different sections of Constant score, activities of daily living had a mean of 18,07 over 20,
range of motion had a mean of 36,29 over 40 and strength had a mean of 21,50 over 25. Conclussion: Locking distal plate
and suture anchor Acu-Sinch provide positive results thanks to the increased stability to distal clavicle fractures associated
with coracoclavicular injury.
coracoclavicular ligaments. Several fixation techniques have been described: hook plate, distal locking plate,
coracoclavicular screws, transacromial Kirschner wires, suture anchors, ligamentous augmentation), however, these are
not without disadvantages, such as nonunion, osteoporosis, osteosynthesis failure or delayed union. The aim of this study
is to describe the effect of the anchor suture repair Acu-Sinch in distal clavicle fractures associated coracoclavicular
ligament rupture. Methods: A descriptive retrospective study, from 2017 to 2022. 14 patients with distal clavicle fracture
and coracoclavicular injury were treated with open reduction and internal fixation with locking distal plate and suture
anchor Acu-Sinch. Primary endpoints we reviewed are Constant Score, duration of surgery, time until surgery,
development of postoperative complications, if postoperative rehabilitation is undergone, and time of follow up. Results:
Mean average of Constant Score was 88,43, the maximum score being 100 and the minimum 37. 11 out of the 14 patients
reached a total score >90. In the different sections of Constant score, activities of daily living had a mean of 18,07 over 20,
range of motion had a mean of 36,29 over 40 and strength had a mean of 21,50 over 25. Conclussion: Locking distal plate
and suture anchor Acu-Sinch provide positive results thanks to the increased stability to distal clavicle fractures associated
with coracoclavicular injury.
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