Paper 59: No Difference in Post-Operative Outcomes for High-Grade Acromioclavicular Joint Surgery Performed Acutely vs Chronically
نویسندگان
چکیده
Objectives: There have been no large studies that directly compare long term outcomes in patients with Rockwood grade III-V acromioclavicular (AC) joint separations treated acute vs. chronic repair. Therefore, the purpose of this study was to post-operative between who undergo high-grade AC surgery acutely (<6 weeks) vs chronically (>6 weeks). Methods: A list all from 2010-2019 obtained medical records. Chart review conducted determine patient demographics, time injury surgery, grade, and surgical technique, as well complications surgery. Post-operative American Shoulder Elbow Surgeons (ASES) Single Assessment Numeric Evaluation (SANE) scores were also collected via RedCap. Patient radiographic retrospectively reviewed by reviewing preoperative, immediate postoperative, follow-up AP views operative shoulder measuring coracoclavicular (CC) interval distance. Loss reduction defined a change greater than 5 mm radiographs measurement. Several multivariate analyses ASES, SANE, CC distance interest order account for demographic differences groups. Results: Overall, 225 (113 acute, 112 chronic) included an average 3.5±2.8 years, age 40±15 86% being male. Patients group underwent 2 ± 1 weeks after initial while 42 35 injury. Significant age, BMI, technique utilized, pre-operative observed groups (all p<0.05) (Table 1). Rates revision, loss reduction, infection, fracture, total complication rate, ASES did not differ had lower rate (1.8mm v. 3.2mm, p=.044), larger decrease at latest compared pre- operatively (11.8mm 9.0mm, p =.002), better SANE (85.5 75.5, p=.032). All other post- After controlling confounding variables such sex, analysis found female male patients, significantly relate score, or 2). Conclusions: similar Multivariate affect scores, [Table: see text][Table: text]
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Clinical Results Following Non-operative Management for Grade III Acromioclavicular Joint Injuries: Does Eventual Surgery Affect Overall Outcomes?
This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...
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ژورنال
عنوان ژورنال: Orthopaedic Journal of Sports Medicine
سال: 2023
ISSN: ['2325-9671']
DOI: https://doi.org/10.1177/2325967123s00084