Аналіз Віддалених Результатів Оперативного Лікування Вивихів Акроміального Кінця Ключиці

Burianov, О.A.; Kvasha, Volodymyr; Сhekushyn, D.A.; Науменко, Віктор Олександрович

doi:10.22141/1608-1706.6.22.2021.249595

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Вивихи акроміального кінця ключиці (АКК) є доволі поширеним травматичним пошкодженням апарату руху та опори і за даними різних авторів складають від 3% до 26,1% від вивихів інших локалізацій і біля 10% в структурі гострих пошкоджень плечового поясу, займаючи третє місце після вивихів плеча та передпліччя. Зустрічаються переважно у чоловіків молодого, найбільш працездатного віку, що зумовлює соціальну значимість даного пошкодження [1].…”

Section: методи та методики / Methods and Methodologies зв'язок публі...unclassified

“…Dislocations of the acromial end of the clavicle (AEC) are a relatively common traumatic injury of the locomotion and support apparatus and, according to various authors, account for 3% to 26.1% of dislocations of other locations and about 10% in the structure of acute shoulder girdle injuries, ranking third after dislocations of the shoulder and forearm. They occur mainly in men of young, most able-bodied age, which determines the social significance of this injury [1].…”

Section: Connection Of the Publication With Planned Research Workmentioning

confidence: 99%

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Stressed and Deformed State of the Acromioclavicular Joint in Case of Damage to the Inferior Acromioclavicular Ligament and Various Methods of Fixation

Buryanov,

Kvasha,

Chekushyn

et al. 2024

VPBM

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Section: методи та методики / Methods and Methodologies зв'язок публі...unclassified

Section: Connection Of the Publication With Planned Research Workmentioning

confidence: 99%

Stressed and Deformed State of the Acromioclavicular Joint in Case of Damage to the Inferior Acromioclavicular Ligament and Various Methods of Fixation

Buryanov,

Kvasha,

Chekushyn

et al. 2024

VPBM

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“…Суттєвими недоліками при застосуванні способу фіксації за Вебером є міграція спиць і порушення цілісності спиць та дроту [10,11].…”

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The method for fixation of dislocations of the acromial end of the clavicle according to Weber: disadvantages and their factors

Buryanov,

Kvasha,

Сhekushyn

et al. 2024

TRAUMA

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Background. Dislocations of the acromial end of the clavicle are quite common traumatic injuries of the locomotor apparatus and, according to various authors, account for 3 to 26.1 % of dislocations of other locations and about 10 % in the structure of acute injuries of the shoulder girdle, ranking third after dislocated shoulders and forearms. They occur mainly in young men of the most working age, which determines the social significance of this injury. Stabilization of the acromial end of the clavicle, as a rule, was ensured by fixation according to Weber and the use of a hook plate. The purpose of the study: to determine the shortcomings and strength characteristics of the fastening elements in the fixation of the acromial end of the clavicle according to Weber. Materials and methods. From 2015 to 2020, a retrospective analysis was performed of treatment outcomes in 57 patients who underwent surgery for dislocation of the acromial end of the clavicle and Weber fixation. Calculations of the strength of fixation of the acromial end of the clavicle with a cerclage wire and spikes in case of its dislocation were carried out in the biomechanics laboratory of the State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”. Results. According to the results of clinical studies, a violation of the integrity of the wire and spikes was observed in 10.5 % of cases, destruction of the acromion process and acromial end of the clavicle — in 19.3 %, migration of the spikes — in 12.3 %. Results of the experimental study show that these shortcomings are clearly correlated with the mechanical properties of the wire and spikes. Conclusions. The factors for unsatisfactory results of surgical treatment for dislocations of the acromial end of the clavicle when using Weber’s method are the violation of the integrity of the wire and spikes, the destruction of the acromion process and the acromial end of the clavicle, the migration of the spikes, which are caused by the mechanical properties of these structures.

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Surgical treatment of the acromioclavicular joint dislocation: modern trends and prospects

Buryanov,

Сhekushyn,

Kvasha

2023

TRAUMA

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Background. Acromioclavicular joint dislocations constitute from 6.8 to 26.1 % of all dislocations and rank third after dislocations of the shoulder and forearm. In the structure of acute traumatic injuries to the shoulder girdle, the proportion of acromioclavicular joint dislocations is above 12 %. These injuries are more common in men of the most working age (from 30 to 40 years) and in athletes engaged in contact sports. Poor outcomes of surgical treatment vary from 9 to 12 %. The aim of the study: to determine modern principles of surgical treatment for acromioclavicular joint dislocations, problematic issues and advanced solutions. Materials and methods. Analysis of literature sources was carried out using PubMed, UpToDate, Scopus, Web of Science, MEDLINE, The Cochrane Library, Embase, Global Health, CyberLeninka databases by search: acromioclavicular joint dislocations, surgical treatment. Results. The most common classification of acromioclavicular joint dislocations is Rockwood classification that includes six dislocation types. Despite the quite detailed classification of injuries to the acromioclavicular ligament according to Rockwood, the Tossy classification is more simplified, but meets practical needs, and distinguishes three types of damage. Stabilization of the clavicle with metal structures is realized by fixing to the coracoid process or acromion of the scapula, the latter is a priority. The disadvantages of the most used metal fixators were identified that require their optimization and development of innovative structures. The reasoned direction regarding static stabilizer restoration is plastic replacement of both ligamentous complexes. Conclusions. A priority direction is to stabilize the clavicle by fixing its acromial end to the acromion of the scapula with metal structures among which a hook plate and the Weber method are the most used. However, significant disadvantages in their use necessitate the development of innovative designs. A promising direction for the restoration of static clavicle stabilizers is surgical methods that combine the restoration of the coracoclavicular and acromioclavicular ligaments. The objective need to create channels for grafts leads to a weakening in the mechanical strength of the bony structures, so research regarding the direction, diameter, and location of these channels requires further investigation.

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Аналіз Віддалених Результатів Оперативного Лікування Вивихів Акроміального Кінця Ключиці

Cited by 4 publications

References 10 publications

Stressed and Deformed State of the Acromioclavicular Joint in Case of Damage to the Inferior Acromioclavicular Ligament and Various Methods of Fixation

Stressed and Deformed State of the Acromioclavicular Joint in Case of Damage to the Inferior Acromioclavicular Ligament and Various Methods of Fixation

The method for fixation of dislocations of the acromial end of the clavicle according to Weber: disadvantages and their factors

Surgical treatment of the acromioclavicular joint dislocation: modern trends and prospects

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