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The study conducted to compare both clinical and radiological outcomes comparing two techniques of Coracoclavicular-stabilization; single and double tunnel technique
There are now over 150 techniques of operative treatment for Acromioclavicular joint injury. Despite no techniques used nowadays is recommended as gold standard treatment, most surgeons prefer Coracoclavicular-stabilization technique. Coracoclavicular-stabilization, providing favorable outcomes in many studies, regularly conducted with two surgical techniques which are single tunnel technique and double technique. Although, both techniques result in good biomechanic, patients underwent double tunnel technique report better clinical outcome. However, double tunnel technique compared to single tunnel technique is more challenging in surgical steps and risk intraoperative complications. This trial aims to compare both clinical and radiological outcomes of the two mentioned Coracoclavicular-stabilization techniques, in order to provide data to support treatment decision in patient with acute Acromioclavicular joint injury.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single tunnel group | Other | Patients undergo single tunnel technique Coracoclavicular stabilization |
|
| Double tunnel group | Other | Patients undergo double tunnel technique Coracoclavicular stabilization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coracoclavicular stabilization | Procedure | Single tunnel and double tunnel technique Coracoclavicular stabilization |
|
| Measure | Description | Time Frame |
|---|---|---|
| ACJI score | ACJI score at preop, postop 3 months, 6 months and 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| CC-distance difference | CC-distance difference measured in bilateral Zanca view | Measured at preop, postop 1 month, 3 months, 6 months and 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen Savang Memorial Hospital | Chon Buri | Changwat Chon Buri | 20110 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37230186 | Background | Eckl L, Vetter P, Bellmann F, Imiolczyk JP, Moroder P, Scheibel M. Management of Acute High-Grade Acromioclavicular Joint Dislocations: Comparable Clinical and Radiological Outcomes After Bidirectional Arthroscopic-Assisted Stabilization With the Single Low-Profile Suture Button Technique Versus Double-Suture Button Technique. Arthroscopy. 2023 Nov;39(11):2283-2290. doi: 10.1016/j.arthro.2023.05.015. Epub 2023 May 23. | |
| 38669650 |
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Patients with acute Acromioclavicular injury classified as Rockwood classification type III and above who willing to undergo the operative treatment were randomized to two groups; single tunnel group and double tunnel group
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| Background |
| Jaspers M, Vueghs T, DE Mulder K, Vundelinckx B, Ruette P, VAN Raebroeckx A. Clavicular tunnel widening after acromioclavicular joint reconstruction: comparison between single and double clavicular tunnel techniques. Acta Orthop Belg. 2024 Mar;90(1):57-62. doi: 10.52628/90.1.12510. |
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