Luxação acromioclavicular tipo V: comparação entre dois métodos de tratamento cirúrgico
DOI:
https://doi.org/10.34119/bjhrv6n1-189Keywords:
articulação acromioclavicular, luxações articulares, dispositivos de fixação ortopédicaAbstract
Objetivo: Comparar os resultados clínicos e radiográficos do tratamento cirúrgico da luxação acromioclavicular tipo V, utilizando dois métodos: âncoras em conjunto com fio de Kirschner ou parafuso de Bosworth. Métodos: Foram avaliados vinte pacientes entre 19 e 60 anos de idade (média: 33,3 anos) e acompanhamento entre 6 e 36 meses (média de 17,4 meses). Fixação coracoclavicular com ancoragem no processo coracóide e fios de Kirschner realizados em dez casos, os demais foram fixados por parafuso conforme descrito por Bosworth. A avaliação incluiu os escores de Constant, UCLA e ASES, satisfação pessoal e avaliação radiográfica. Resultados: Os tipos de tratamento alcançaram redução adequada e satisfação pessoal na maioria dos casos. O Grupo 2 apresentou escores Constant (91,0) e ASES (94,8) maiores do que os do Grupo 1 (89,0) e (94,6), respectivamente. A osteoartrite da articulação acromioclavicular ocorreu apenas no Grupo 1 (50%) p=0,0325. Nenhuma das técnicas apresentou complicações graves, observou-se infecção superficial no Grupo 1 (20%) e soltura do parafuso no Grupo 2 (10%). Conclusão: Apesar da maior taxa de infecção e osteoartrite da articulação acromioclavicular nas técnicas com fio e âncoras de Kirschner, não houve diferença estatística nos resultados clínicos, radiográficos e funcionais em comparação com as técnicas de parafuso de Bosworth.
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