open surgery
Conditions
Interventions
We will carry out a prospective and randomized clinical trial with a quantitative approach, parallel with two arms, patient and evaluator blinded, with a diagnosis of acute acromioclavicular dislocati
V03.175.250.500.500
Sponsors
Hospital Universitário Professor Alberto Antunes
Santa Casa Misericórdia Maceió
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients of both sexes;over 18 years old; diagnosed with acute acromioclavicular dislocation within 21 days of injury; Rockwood type 3;4;5;6
Exclusion criteria
Exclusion criteria: Previous shoulder surgeries; multiple trauma patients; abuse of alcohol or illicit drugs; exposed injuries; carrier of neoplastic disease; associated fractures in the upper limb; adhesive capsulitis; glenohumeral osteoarthritis; psychiatric illness; pregnancy; comorbidities not clinically compensated; presence of active infection, loss of follow up of the first clinical evaluation carried out at 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A mean difference of greater than 10 points is expected, assessed by the ACJI (acromioclavicular joint instability) score, when using the subcoracoid ligation technique combined with acromioclavicular cerclage compared with the subcoracoid ligation technique alone. Data collected 12 months postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| A mean difference of greater than 10 points is expected, as assessed by the ACJI (acromioclavicular joint instability) score, when using the subcoracoid ligation technique combined with acromioclavicular cerclage compared with the subcoracoid ligation technique alone. Data were collected 3 and 6 months postoperatively;No differences are expected between the techniques used, as measured by the Constant Murley score. Data collected at 3, 6, and 12 months;We will evaluate the radiographic changes through the biacromial incidences in AP(anterior posterior) and zanc and modified Alexander view at 3, 6 and 12 months postoperatively and the expected result is that the open technique without cerclage will present greater loss of reduction and greater dynamic posterior translation compared to the technique associated with cerclage;We will evaluate the range of motion using goniometry of anterior elevation, internal rotation and external rotation movements at 3, 6 and 12 months and the expected result will be that there will be no difference between the two groups | — |
Countries
Brazil
Contacts
Public ContactHelio Ribeiro Filho
Santa Casa Misericórdia Maceió
Outcome results
None listed