Comparison of surgical treatments of acromioclavicular dislocations
A. I. Avdeev,
K. I. Horak,
D. G. Parfeev,
E. V. Sinitsyna,
D. D. Parshin,
A. M. Morozov,
M. E. Piskareva https://doi.org/10.5922/2223-2427-2024-9-1-4
Abstract
Background. According to the literature, acromioclavicular dislocations rank third in frequency among all dislocations within the musculoskeletal system. The social significance of acromioclavicular (AC) joint injuries lies in that the majority of affected individuals are part of the working-age population, typically aged 25 to 45 years, frequently involved in physically demanding occupations and high-level sports.
Aim. This article seeks to compare various surgical treatment methods for AC dislocations. Materials and methods. This study analyses current Russian and international literature sources regarding the surgical treatment of AC dislocations. The information sources were examined using the eLibrary and PubMed search engines.
Results and discussion. In current clinical practice, surgical methods are typically preferred when considering treatment approaches for AC dislocations. This preference stems from the significant advantages associated with surgery, including a shorter rehabilitation period and high patient satisfaction with long-term treatment outcomes, despite the risks of postoperative complications.
Conclusion. The most promising methods for stabilising the AC joint include the use of a hookshaped plate and the button suture. While a hook-shaped plate offers greater stability compared to the button suture, it necessitates informing the patient about the need for plate removal three months post-surgery to reduce the risk of osteoarthritis development. On the other hand, the button suture does not require additional surgical procedures for implant removal but may result in less rigid fixation, potentially leading to recurrence of dislocation.
About the Authors
A. I. Avdeev
Vreden National Medical Research Centre of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Dr Alexandr I Avdeev, Orthopaedic Traumatologist
8 Akademika Baykova St, St Petersburg, 195427
K. I. Horak
Vreden National Medical Research Centre of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Konstantin I. Horak, Orthopaedic Traumatologist
8 Akademika Baykova St, St Petersburg, 195427
D. G. Parfeev
Vreden National Medical Research Centre of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Dr Dmitriy G. Parfeev, Orthopaedic Traumatologist
8 Akademika Baykova St, St Petersburg, 195427
E. V. Sinitsyna
Saint Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Ekaterina V. Sinitsyna, Resident
2 Litovskaya St, St Petersburg, 194100
D. D. Parshin
Saint Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Danil D. Parshin, Resident
2 Litovskaya St, St Petersburg, 194100
A. M. Morozov
Tver State Medical University
Russian Federation
Russian Federation
Artem M. Morozov, Department of General Surgery
4 Sovetskaya St, Tver, 170100
M. E. Piskareva
Tver State Medical University
Russian Federation
Russian Federation
Maria E. Piskareva, Student
4 Sovetskaya St, Tver, 170100
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For citations:
Avdeev A.I., Horak K.I., Parfeev D.G., Sinitsyna E.V., Parshin D.D., Morozov A.M., Piskareva M.E. Comparison of surgical treatments of acromioclavicular dislocations. Surgical practice (Russia). 2024;(1):38-50. (In Russ.) https://doi.org/10.5922/2223-2427-2024-9-1-4
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