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- Title
Repair of sternoclavicular joint dislocations with FiberWire<sup>®</sup>.
- Authors
Adamcik, Stefan; Ahler, Markus; Gioutsos, Konstantinos; Schmid, Ralph; Kocher, Gregor; Schmid, Ralph A; Kocher, Gregor J
- Abstract
<bold>Purpose: </bold>Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.<bold>Methods: </bold>Five consecutive male patients with a median age of 27 (range 20-49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Open reduction and surgical fixation were achieved by a modified figure-of-eight sutures using Fiberwire®. In anterior dislocations, an additional reconstruction of the costoclavicular ligament was performed. Median follow-up was 11 months (range 9-48) and included clinical evaluation and the use of the DASH questionnaire.<bold>Results: </bold>Open surgical reduction and SCJ repair were successfully achieved in all patients without complications. Repair resulted in very good functional outcomes in all five patients with DASH scores of 0, 8 (n = 3) and 5, 8 (n = 2), respectively.<bold>Conclusions: </bold>The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.
- Subjects
STERNOCLAVICULAR joint; JOINT dislocations; NEUROVASCULAR diseases; TRAUMATIC amputation; ARM fractures; SURGERY
- Publication
Archives of Orthopaedic & Trauma Surgery, 2017, Vol 137, Issue 3, p341
- ISSN
0936-8051
- Publication type
journal article
- DOI
10.1007/s00402-017-2632-z