AOSSM 2023 Annual Meeting Recordings no CME-No Difference in Post-Operative Outcomes for High-Grade Acromioclavicular Joint Surgery Performed Acutely vs Chronically

No Difference in Post-Operative Outcomes for High-Grade Acromioclavicular Joint Surgery Performed Acutely vs Chronically

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Video Transcription

Video Summary

In this video, Ryan Paul, a second-year medical student, presents a study on the acute versus chronic surgical treatment of high grade acromioclavicular (AC) joint injuries. The study aimed to compare post-operative outcomes between patients who underwent surgery within six weeks (acute) versus those who had surgery after six weeks (chronic). The study included 225 patients and found statistically significant differences in demographic variables between the two groups. Acute patients had better post-operative SANE scores, lower post-operative loss of reduction, and higher overall improvement in coracoclavicular distance compared to the chronic group. However, when controlling for confounding variables, there was no difference in functional or radiographic outcomes based on the timing of AC joint surgery. The study suggests that patient and surgical factors may be more important variables than timing of surgery itself.

Asset Caption

Ryan Paul, BS

Keywords

Ryan Paul

medical student

acute versus chronic surgical treatment

high grade acromioclavicular joint injuries

post-operative outcomes