Factores clínicos que afectan a la calidad de vida percibida en la reconstrucción artroscópica de las luxaciones acromioclaviculares

espanolObjetivo Analizar los resultados de la reparacion artroscopica de la luxacion acromioclavicular en terminos de calidad de vida percibida. Material y metodo Estudio prospectivo de pacientes con luxacion acromioclavicular grados iii-vde Rockwood, tratados artroscopicamente con un seguimiento medio de 25,4 meses. Se registraron los datos demograficos de la serie y se realizaron evaluaciones antes de la cirugia, a los 3 meses y a los 2 anos con los cuestionarios validados Short Form-36 Health Survey (SF-36), escala visual analogica (EVA), The Disabilities of the Arm, Shoulder and Hand (DASH), Constant-Murley Shoulder Outcome Score (Constant) y Walch-Duplay Score (WD). Resultados Se analizaron 20 pacientes, 17 hombres y 3 mujeres, con una edad media de 36,1 anos. Segun la clasificacion de Rockwood, 3 pacientes fueron grado iii, 3 grado iv y 14 grado v. Se objetivo mejoria tanto funcional como clinica en todos los test clinicos analizados (SF-36, EVA y DASH) tanto a los 3 meses como a los 2 anos (p Conclusiones La calidad de vida percibida (valorada mediante el SF-36) en pacientes intervenidos artroscopicamente de luxacion acromioclavicular grados iii-v no se ve influida por el sexo, la edad, el grado, el desplazamiento, la lateralidad, la evolucion de la EVA, la puntuacion del Constant ni por el WD. Si se correlaciona con la evolucion en el DASH. EnglishObjective To analyse the results of arthroscopic repair of acromioclavicular dislocation in terms of health-related quality of life. Material and method Prospective study of patients with acromioclavicular dislocation Rockwood grade iii-v, treated arthroscopically with a mean follow up of 25.4 months. The demographics of the series were recorded and evaluations were performed preoperatively, at 3 months and 2 years with validated questionnaires as Short Form-36 Health Survey (SF-36), visual analogue scale (VAS), The Disabilities of the Arm, Shoulder and Hand (DASH), Constant-Murley Shoulder Outcome Score (Constant) and Walch-Duplay Score (WD). Results Twenty patients, 17 men and 3 women with a mean age of 36.1 years, were analysed. According to the classification of Rockwood, 3 patients were grade iii, 3 grade iv and 14 grade v. Functional and clinical improvement was detected in all clinical tests (SF-36, VAS and DASH) at 3 months and 2 years follow up (P Conclusions The health-related quality of life (assessed by SF-36) in patients undergoing arthroscopic repair of acromioclavicular joint dislocation grades iii-v was not influenced by gender, age, grade, displacement, handedness, evolution of the VAS, scoring of the Constant or by the WD. However, it is correlated with the evolution in the DASH score.