Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation

Ricciardi, A.; Monia Montagnerorcid, I.; Pilla, D.

Risultato della ricerca: Article

Abstract

Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement. Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one,three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required. Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05). Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery. Level of evidence: III
Lingua originaleEnglish
pagine (da-a)143-150
Numero di pagine8
RivistaArchives of Bone and Joint Surgery
Volume7
Stato di pubblicazionePublished - 2019

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Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation. / Ricciardi, A.; Monia Montagnerorcid, I.; Pilla, D.

In: Archives of Bone and Joint Surgery, Vol. 7, 2019, pag. 143-150.

Risultato della ricerca: Article

Ricciardi, A.; Monia Montagnerorcid, I.; Pilla, D. 2019, 'Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation', Archives of Bone and Joint Surgery, vol. 7, pagg. 143-150.
Ricciardi, A.; Monia Montagnerorcid, I.; Pilla, D. / Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation. In: Archives of Bone and Joint Surgery. 2019 ; Vol. 7. pagg. 143-150.
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title = "Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation",
abstract = "Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement. Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one,three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required. Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05). Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery. Level of evidence: III",
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year = "2019",
language = "English",
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pages = "143--150",
journal = "Archives of Bone and Joint Surgery",
issn = "2345-4644",
publisher = "Mashhad University of Medical Sciences",

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T1 - Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation

AU - Ricciardi, A.; Monia Montagnerorcid, I.; Pilla, D.

AU - D'Arienzo, Michele

AU - Camarda, Lawrence

AU - Geraci, Alessandro

AU - D'Arienzo, Antonio

PY - 2019

Y1 - 2019

N2 - Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement. Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one,three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required. Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05). Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery. Level of evidence: III

AB - Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement. Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one,three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required. Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05). Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery. Level of evidence: III

UR - http://hdl.handle.net/10447/355613

UR - http://abjs.mums.ac.ir/article_10836_1c865362bd5aef8d65cfe06f9ae61578.pdf

M3 - Article

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JO - Archives of Bone and Joint Surgery

JF - Archives of Bone and Joint Surgery

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