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Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization

BACKGROUND: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose o...

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Autores principales: Lim, Tae Kang, Oh, Whang Kyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532/
https://www.ncbi.nlm.nih.gov/pubmed/30838114
http://dx.doi.org/10.4055/cios.2019.11.1.103
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author Lim, Tae Kang
Oh, Whang Kyun
author_facet Lim, Tae Kang
Oh, Whang Kyun
author_sort Lim, Tae Kang
collection PubMed
description BACKGROUND: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. METHODS: This study retrospectively evaluated 18 consecutive patients who had undergone arthroscopic stabilization for torn CC ligaments between 2014 and 2015. The indications for surgery were acute or chronic acromioclavicular dislocation and acute fracture of the distal clavicle, associated with CC ligament disruption. Clinical outcomes were evaluated with the American Shoulder and Elbow Surgeons (ASES) and the University of California, Los Angeles (UCLA) scores. Intra- and postoperative complications and reoperations were investigated. RESULTS: There were six female and 12 male patients with a mean age of 47 years (range, 22 to 86 years). At a mean follow-up of 17 ± 10 months (range, 10 to 28 months), the mean ASES score was 88.8 ± 19.9 and the mean UCLA score was 30.9 ± 5.2. Intraoperatively, seven complications developed: breach of lateral cortex of the coracoid process in five patients, medial cortex of the coracoid process in one, and anterior cortex of the clavicle in one. Postoperative complications developed in eight patients: four ossifications of the CC interspace, four tunnel widening of the clavicle, one bony erosion on the clavicle, and one superficial infection. A loss of reduction was found in six patients. Reoperation was performed in three patients for loss of reduction in two and superficial infection in the other. CONCLUSIONS: Arthroscopic CC stabilization resulted in high rates of intraoperative and early postoperative complications. Most of them were related to the surgical technique involving bone tunnel placement in the coracoid process and the clavicle.
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spelling pubmed-63895322019-03-06 Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization Lim, Tae Kang Oh, Whang Kyun Clin Orthop Surg Original Article BACKGROUND: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. METHODS: This study retrospectively evaluated 18 consecutive patients who had undergone arthroscopic stabilization for torn CC ligaments between 2014 and 2015. The indications for surgery were acute or chronic acromioclavicular dislocation and acute fracture of the distal clavicle, associated with CC ligament disruption. Clinical outcomes were evaluated with the American Shoulder and Elbow Surgeons (ASES) and the University of California, Los Angeles (UCLA) scores. Intra- and postoperative complications and reoperations were investigated. RESULTS: There were six female and 12 male patients with a mean age of 47 years (range, 22 to 86 years). At a mean follow-up of 17 ± 10 months (range, 10 to 28 months), the mean ASES score was 88.8 ± 19.9 and the mean UCLA score was 30.9 ± 5.2. Intraoperatively, seven complications developed: breach of lateral cortex of the coracoid process in five patients, medial cortex of the coracoid process in one, and anterior cortex of the clavicle in one. Postoperative complications developed in eight patients: four ossifications of the CC interspace, four tunnel widening of the clavicle, one bony erosion on the clavicle, and one superficial infection. A loss of reduction was found in six patients. Reoperation was performed in three patients for loss of reduction in two and superficial infection in the other. CONCLUSIONS: Arthroscopic CC stabilization resulted in high rates of intraoperative and early postoperative complications. Most of them were related to the surgical technique involving bone tunnel placement in the coracoid process and the clavicle. The Korean Orthopaedic Association 2019-03 2019-02-18 /pmc/articles/PMC6389532/ /pubmed/30838114 http://dx.doi.org/10.4055/cios.2019.11.1.103 Text en Copyright © 2019 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lim, Tae Kang
Oh, Whang Kyun
Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization
title Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization
title_full Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization
title_fullStr Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization
title_full_unstemmed Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization
title_short Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization
title_sort intraoperative and postoperative complications after arthroscopic coracoclavicular stabilization
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532/
https://www.ncbi.nlm.nih.gov/pubmed/30838114
http://dx.doi.org/10.4055/cios.2019.11.1.103
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