Arthroscopically assisted coraco-clavicular ligament reconstruction in treatment of acute displaced distal clavicle fractures provides good to excellent shoulder function despite low union rates and high complication rates. A systematic review
Arthroscopy Jul 30, 2021
Malik SS, Tahir M, Malik S, et al. - A systematic review was conducted to evaluate the clinical outcome of arthroscopically assisted coraco-clavicular ligament (AACCL) reconstruction for treatment of displaced distal clavicle fractures in terms of union rate, complications and shoulder function. Researchers carried out searches for a review of the online databases MEDLINE and Embase on 1st January 2021 according to PRISMA guidelines. The study enrolled the clinical studies reporting union rate, complications and shoulder function. They examined clinical studies that assessed the outcome of AACCL reconstruction in displaced distal clavicle fractures. The overall outcomes of this SR are that the union rate can be as low as 70% with this technique and complication rate as high as 28.6%. According to Constant-Murley score, the overall shoulder function was good to excellent. As the literature surrounding this topic is heterogeneous, there is a need for further comparative clinical studies to evaluate superiority compared to other traditional techniques.
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