This study follows early wound healing using knot hiding titanium implants in coracoclavicular ligament reconstruction. A further aim is to compare two techniques where the semitendinosus tendon graft either runs through the coracoid drill hole or goes around the coracoid.
A modified arthroscopic technique for coracoclavicular ligament reconstruction was used based on a previous technique where the supportive device and the semi tendon graft share the clavicular and coracoid drill holes. A notable problem with the previous technique was large protruding suture knots on the washer and clavicle, which could predispose to wound infection. In this new modified technique, new implants were introduced. The new implant hides the suture knot and less foreign material is needed. The purpose of this study is to follow the patients operated using the new implants with special attention to early clavicular wound healing. A further aim is to compare a technique where the semitendinosus graft runs through clavicular and coracoid drill holes versus a technique where the graft runs under the coracoid process.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
27
Arthroscopically conducted ligament reconstruction for the treatment of an AC dislocation
Paavo Nurmi Centre, University of Turku
Turku, Finland
Total number of wound infections in the clavicular describing the safety of the used implant
Clinical sign questionnaire, scale 0-1 (no-yes)
Time frame: two months
Constant score, scale 0-100, 100 denoting excellent
General shoulder test; describes the general state of the shoulder
Time frame: Score is taken postoperatively and after two years follow-up
Simple shoulder test, scale 0-12, 12 denoting excellent
General shoulder test; describes the general state of the shoulder
Time frame: Score is taken postoperatively and after two years follow-up
Nottingham clavicle score, scale 20-100, 100 denoting excellent
AC joint specific test; describes the state of the AC joint and clavicle
Time frame: Score is taken postoperatively and after two years follow-up
Clavicular tunnel diameter
Describes possible adverse expansion of the tunnel; millimeters
Time frame: The measure is taken postoperatively and after two years follow-up
Coracoclavicular distance
Describes possible adverse increase of the coracoclavicular distance; millimeters
Time frame: The measure is taken postoperatively and after two years follow-up
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