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Mid-term outcome comparing temporary K-wire fixation versus PDS augmentation of Rockwood grade III acromioclavicular joint separations.

Leidel BA, Braunstein V, Pilotto S, Mutschler W, Kirchhoff C - BMC Res Notes (2009)

Bottom Line: Mid term outcome with a mean follow up of 3 years was measured using a standardized functional patient questionnaire including Constant score, ASES rating scale, SPADI, XSMFA-D and a pain score.K-wire therapy resulted in significantly better functional results expressed by Constant score (88 +/- 10 vs. 73 +/- 18), ASES rating scale (29 +/- 3 vs. 25 +/- 5), SPADI (3 +/- 9 vs. 9 +/- 13), XSMFA-D function (13 +/- 2 vs. 14 +/- 3), XSMFA-D impairment (4 +/- 1 vs. 6 +/- 2) and pain score (1 +/- 1 vs. 2 +/- 2).However functional outcome parameters indicate a significant advantage for the K-wire technique.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Traumatology and Orthopaedic Surgery, Ludwig-Maximilians-University Munich, Munich, Germany. bernd.a.leidel@med.uni-muenchen.de

ABSTRACT

Background: The treatment of acute acromioclavicular (AC) joint injuries depends mainly on the type of the dislocation and patient demands. This study compares the mid term outcome of two frequently performed surgical concepts of Rockwood grade III AC joint separations: The temporary articular fixation with K-wires (TKW) and the refixation with an absorbable polydioxansulfate (PDS) sling.

Findings: Retrospective observational study of 86 patients with a mean age of 37 years underwent either TKW (n = 70) or PDS treatment (n = 16) of Rockwood grade III AC joint injuries. Mid term outcome with a mean follow up of 3 years was measured using a standardized functional patient questionnaire including Constant score, ASES rating scale, SPADI, XSMFA-D and a pain score. K-wire therapy resulted in significantly better functional results expressed by Constant score (88 +/- 10 vs. 73 +/- 18), ASES rating scale (29 +/- 3 vs. 25 +/- 5), SPADI (3 +/- 9 vs. 9 +/- 13), XSMFA-D function (13 +/- 2 vs. 14 +/- 3), XSMFA-D impairment (4 +/- 1 vs. 6 +/- 2) and pain score (1 +/- 1 vs. 2 +/- 2).

Conclusion: Either temporary K-wire fixation and PDS sling enable good or satisfying functional results in the treatment of Rockwood grade III AC separations. However functional outcome parameters indicate a significant advantage for the K-wire technique.

No MeSH data available.


Related in: MedlinePlus

Mean ± SD functional outcome XSMFA-D score significant better in the TKW group, but in both treatment groups "good".
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Figure 4: Mean ± SD functional outcome XSMFA-D score significant better in the TKW group, but in both treatment groups "good".

Mentions: The XSMFA-D function score on average the TKW treated patient group reached 12.5 versus 14.0 points (mean) in the PDS treated group with a significant difference (p = 0.028) (Figure 4). With regard to the XSMFA-D impairment score on average the TKW group reached 4.4 versus 6.0 points in the PDS group (p = 0.004), with a significant difference in both treatment groups (Figure 5).


Mid-term outcome comparing temporary K-wire fixation versus PDS augmentation of Rockwood grade III acromioclavicular joint separations.

Leidel BA, Braunstein V, Pilotto S, Mutschler W, Kirchhoff C - BMC Res Notes (2009)

Mean ± SD functional outcome XSMFA-D score significant better in the TKW group, but in both treatment groups "good".
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2683865&req=5

Figure 4: Mean ± SD functional outcome XSMFA-D score significant better in the TKW group, but in both treatment groups "good".
Mentions: The XSMFA-D function score on average the TKW treated patient group reached 12.5 versus 14.0 points (mean) in the PDS treated group with a significant difference (p = 0.028) (Figure 4). With regard to the XSMFA-D impairment score on average the TKW group reached 4.4 versus 6.0 points in the PDS group (p = 0.004), with a significant difference in both treatment groups (Figure 5).

Bottom Line: Mid term outcome with a mean follow up of 3 years was measured using a standardized functional patient questionnaire including Constant score, ASES rating scale, SPADI, XSMFA-D and a pain score.K-wire therapy resulted in significantly better functional results expressed by Constant score (88 +/- 10 vs. 73 +/- 18), ASES rating scale (29 +/- 3 vs. 25 +/- 5), SPADI (3 +/- 9 vs. 9 +/- 13), XSMFA-D function (13 +/- 2 vs. 14 +/- 3), XSMFA-D impairment (4 +/- 1 vs. 6 +/- 2) and pain score (1 +/- 1 vs. 2 +/- 2).However functional outcome parameters indicate a significant advantage for the K-wire technique.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Traumatology and Orthopaedic Surgery, Ludwig-Maximilians-University Munich, Munich, Germany. bernd.a.leidel@med.uni-muenchen.de

ABSTRACT

Background: The treatment of acute acromioclavicular (AC) joint injuries depends mainly on the type of the dislocation and patient demands. This study compares the mid term outcome of two frequently performed surgical concepts of Rockwood grade III AC joint separations: The temporary articular fixation with K-wires (TKW) and the refixation with an absorbable polydioxansulfate (PDS) sling.

Findings: Retrospective observational study of 86 patients with a mean age of 37 years underwent either TKW (n = 70) or PDS treatment (n = 16) of Rockwood grade III AC joint injuries. Mid term outcome with a mean follow up of 3 years was measured using a standardized functional patient questionnaire including Constant score, ASES rating scale, SPADI, XSMFA-D and a pain score. K-wire therapy resulted in significantly better functional results expressed by Constant score (88 +/- 10 vs. 73 +/- 18), ASES rating scale (29 +/- 3 vs. 25 +/- 5), SPADI (3 +/- 9 vs. 9 +/- 13), XSMFA-D function (13 +/- 2 vs. 14 +/- 3), XSMFA-D impairment (4 +/- 1 vs. 6 +/- 2) and pain score (1 +/- 1 vs. 2 +/- 2).

Conclusion: Either temporary K-wire fixation and PDS sling enable good or satisfying functional results in the treatment of Rockwood grade III AC separations. However functional outcome parameters indicate a significant advantage for the K-wire technique.

No MeSH data available.


Related in: MedlinePlus