Repair of sternoclavicular joint dislocations with FiberWire®.

Adamcik, Stefan; Ahler, Markus; Gioutsos, Konstantinos; Schmid, Ralph; Kocher, Gregor (2017). Repair of sternoclavicular joint dislocations with FiberWire®. Archives of orthopaedic and trauma surgery, 137(3), pp. 341-345. Springer 10.1007/s00402-017-2632-z

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PURPOSE 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. METHODS 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. RESULTS 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. CONCLUSIONS The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Thoraxchirurgie

UniBE Contributor:

Adamcik, Stefan; Ahler, Markus; Gioutsos, Konstantinos; Schmid, Ralph and Kocher, Gregor

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0936-8051

Publisher:

Springer

Language:

English

Submitter:

Thomas Michael Marti

Date Deposited:

02 Mar 2018 15:46

Last Modified:

24 Oct 2019 00:48

Publisher DOI:

10.1007/s00402-017-2632-z

PubMed ID:

28110364

Uncontrolled Keywords:

Costoclavicular reconstruction Open reduction Reconstruction approach, sternoclavicular injury Sternoclavicular reconstruction Trauma

BORIS DOI:

10.7892/boris.109657

URI:

https://boris.unibe.ch/id/eprint/109657

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