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Modified Phemister procedure for the treatment of type III Rockwood acromioclavicular joint dislocation. Results after five-years follow-up
Tratamiento quirúrgico de las luxaciones acromioclaviculares tipo III de Rockwood mediante técnica de Phemister modificada. Evaluación de resultados a los cinco años
N. Muñoz García, F. Tomé Bermejo
Corresponding author
felixtome@hotmail.com

Corresponding author.
Orthopaedic Surgery and Traumatology Department, Virgen de la Salud Hospital, Toledo, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rockwood type III acromioclavicular &#40;AC&#41; joint dislocation is a common shoulder injury&#46; Its treatment is subject to continuing controversy&#46; The aim of this study was to evaluate the outcomes of the surgical treatment for Rockwood type III AC joint dislocation&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descriptive retrospective study between 2000-2006&#44; including 67 patients who underwent modified Phemister procedure for the treatment of a type III AC joint dislocation&#46; Patients clinically evaluated according to the Constant score&#46; Data collection also included radiological findings&#44; the presence of degenerative radiological changes&#44; post-operative complications and a questionnaire on satisfaction with treatment received&#46; Mean age of patients 34&#46;1 years&#46; Mean follow-up 4&#46;7 years&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Twenty-one patients were finally included&#46; Functional result good&#47;excellent in 88&#46;5&#37; according to the modified Constant score&#46; Post-operative radiological reduction achieved in all patients&#44; &#60;50&#37; of all cases being partially lost during the follow-up&#46; Asymptomatic radiological degenerative changes appeared in 61&#46;5&#37; of the patients&#46; Superficial wound infection and metal work migration were the most common post-operative complications&#46; Patients expressed high satisfaction with the treatment received&#46; After surgery no patient had to change their jobs or favourite sports activities&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Modified Phemister procedure provides a good result in the surgical treatment of Rockwood type III AC joint dislocation&#46; Functional results and patient satisfaction with the treatment performed are very high&#46; The partial loss of the radiological reduction during the follow-up does not necessarily mean a worse functional result&#44; and in any case the radiological assessment was worse than that resulting from the initial injury&#46; The ability to carry out normal daily living activities and the functional assessment obtained the most satisfactory results&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluar el resultado del tratamiento quir&#250;rgico de la luxaci&#243;n AC tipo III de Rockwood&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y metodolog&#237;a</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo retrospectivo en 26 pacientes varones&#44; con una edad media de 34 a&#241;os&#44; intervenidos con t&#233;cnica modificada de Phemister&#44; entre los a&#241;os 2000 y 2006&#44; por presentar luxaci&#243;n aguda AC tipo III de Rockwood&#46; Los pacientes fueron valorados seg&#250;n escala de Constant&#44; par&#225;metros radiogr&#225;ficos&#44; presencia de cambios degenerativos&#44; complicaciones e &#237;ndice de valoraci&#243;n subjetiva del paciente&#46; El seguimiento medio fue de 5 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La escala de Constant fue excelente o buena en el 88&#44;5&#37; de los casos con una reducci&#243;n de la luxaci&#243;n en todos ellos&#44; perdi&#233;ndose la reducci&#243;n parcialmente menos del 50&#37; durante el seguimiento&#46; Un 61&#44;5&#37; de las im&#225;genes presentaron cambios degenerativos asintom&#225;ticos&#46; Las complicaciones m&#225;s frecuentes fueron las infecciones superficiales y la protrusi&#243;n de las agujas&#46; El grado de satisfacci&#243;n fue muy alto y ning&#250;n paciente cambi&#243; su actividad profesional o deportiva&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La t&#233;cnica de Phemister modificada proporciona un buen resultado en el tratamiento quir&#250;rgico de las luxaciones AC tipo III y la p&#233;rdida parcial de la reducci&#243;n radiol&#243;gica a medio-largo plazo no implica peor valoraci&#243;n funcional&#46;</p>"
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ISSN: 19888856
Original language: English
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2020 April 0 24 24
2020 March 0 40 40
2020 February 0 45 45
2020 January 1 40 41
2019 December 0 41 41
2019 November 0 20 20
2019 October 0 30 30
2019 September 0 37 37
2019 August 0 24 24
2019 July 0 38 38
2019 June 0 55 55
2019 May 0 72 72
2019 April 0 63 63
2019 March 0 22 22
2019 February 0 14 14
2019 January 0 11 11
2018 December 0 15 15
2018 November 0 1 1
2018 October 0 15 15
2018 April 0 1 1
2018 February 8 1 9
2018 January 4 1 5
2017 December 6 0 6
2017 November 10 1 11
2017 October 6 4 10
2017 September 3 4 7
2017 August 9 21 30
2017 July 6 1 7
2017 June 10 1 11
2017 May 13 0 13
2017 April 8 3 11
2017 March 9 20 29
2017 February 5 2 7
2017 January 11 0 11
2016 December 6 0 6
2016 November 7 1 8
2016 October 4 0 4
2016 September 8 1 9
2016 July 2 0 2
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos