Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes

Muccioli, Giulio Maria Marcheggiani; Manning, Christopher J.; Wright, Philip; Grassi, Alberto; Zaffagnini, Stefano; Funk, Lennard

doi:10.1007/s00167-014-3231-y

Cited by 37 publications

(29 citation statements)

References 19 publications

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“…Our return-to-sport time frame is much shorter compared with previously published post–ACJ surgery data in collision athletes. 20,21,36 The only previously published study of post-ACJ surgical outcomes in AFL players reported an average return-to-sport–specific training and return to competitive matches at 13.6 and 18.8 weeks, respectively. 7 Marcheggiani Muccioli et al 21 compared the outcomes of professional and nonprofessional athletes after open ACJ reconstruction with a Ligament Augmentation and Reconstruction System (LARS) ligament.…”

Section: Discussionmentioning

confidence: 99%

“…7 Marcheggiani Muccioli et al 21 compared the outcomes of professional and nonprofessional athletes after open ACJ reconstruction with a Ligament Augmentation and Reconstruction System (LARS) ligament. 21 Nineteen of the 22 professional athletes were rugby players. The average return-to-sport time was 4 months for professional and 5 months for nonprofessional athletes.…”

Section: Discussionmentioning

confidence: 99%

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Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Borbas

Warby

Yalizis³

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Acromioclavicular joint (ACJ) injuries are the second most common upper limb injuries in the Australian Football League (AFL); however, there is little evidence on the return-to-sport results after surgical stabilization of the ACJ in this sporting population. Purpose: To investigate the return-to-sport time, on-field performance, and patient-reported outcomes in a series of professional AFL players after undergoing ACJ stabilization. Study Design: Case series; Level of evidence, 4. Methods: We conducted a retrospective case series of all AFL players who had undergone open twin-tailed dog-bone ACJ stabilization by a single surgeon between September 2013 and April 2017. Outcome measures included time to return to sport, on-field performance indicators (handballs, tackles, kicks, and AFL Fantasy and Supercoach scores), the Nottingham Clavicle Score, Oxford Shoulder Score, and the Specific Acromioclavicular Score. Patient-reported outcomes were evaluated at a minimum follow-up of 12 months. Results: Of 13 senior listed AFL players who underwent twin-tailed dog-bone surgery, 9 players were included. Mean follow-up was 24.8 months (range, 5-41 months) postoperatively. Mean return-to-sport time was 8.6 weeks for injuries that occurred within the season. The number of kicks, marks, handballs, and tackles as well as AFL Supercoach and Fantasy scores did not significantly change after surgery ( P > .05). Outcome measures showed a high level of patient satisfaction after surgery, with a mean Nottingham Clavicle Score of 92.2, Oxford Shoulder Score of 47.7, and the Specific Acromioclavicular Score of 7.5. Conclusion: In a collective of professional AFL players with ACJ injury, our twin-tailed dog-bone technique revealed return to competitive play could be achieved at a mean of 8.6 weeks without compromising on-field performance or patient-reported pain, function, and satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Borbas

Warby

Yalizis³

et al. 2022

Orthopaedic Journal of Sports Medicine

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“…The classic Rockwood classification correlates poorly with clinical symptoms, primarily due to its inability to accurately predict the anatomical structures injured in each case [ 7 ]. Clinical evaluation of ACJ stability has been based on anterior–posterior (AP) radiographs to measure superior displacement of the lateral clavicle [ 18 ], while it is difficult to measure horizontal displacement [ 1 ]. This is why methods of ACJ stabilisation have traditionally focused on preventing superior displacement of the clavicle [ 15 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Acromioclavicular joint reconstruction implants have differing ability to restore horizontal and vertical plane stability

Alkoheji

El-Daou

Lee

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose Persistent acromioclavicular joint (ACJ) instability following high grade injuries causes significant symptoms. The importance of horizontal plane stability is increasingly recognised. There is little evidence of the ability of current implant methods to restore native ACJ stability in the vertical and horizontal planes. The purpose of this work was to measure the ability of three implant reconstructions to restore native ACJ stability. Methods Three groups of nine fresh-frozen shoulders each were mounted into a robotic testing system. The scapula was stationary and the robot displaced the clavicle to measure native anterior, posterior, superior and inferior (A, P, S, I) stability at 50 N force. The ACJ capsule, conoid and trapezoid ligaments were transected and the ACJ was reconstructed using one of three commercially available systems. Two systems (tape loop + screw and tape loop + button) wrapped a tape around the clavicle and coracoid, the third system (sutures + buttons) passed directly through tunnels in the clavicle and coracoid. The stabilities were remeasured. The data for A, P, S, I stability and ranges of A–P and S–I stability were analyzed by ANOVA and repeated-measures Student t tests with Bonferroni correction, to contrast each reconstruction stability versus the native ACJ data for that set of nine specimens, and examined contrasts among the reconstructions. Results All three reconstructions restored the range of A–P stability to that of the native ACJ. However, the coracoid loop devices shifted the clavicle anteriorly. For S–I stability, only the sutures + buttons reconstruction did not differ significantly from native ligament restraint. Conclusions Only the sutures + buttons reconstruction, that passed directly through tunnels in the clavicle and coracoid, restored all stability measures (A, P, S, I) to the native values, while the tape implants wrapped around the bones anteriorised the clavicle. These findings show differing abilities among reconstructions to restore native stability in horizontal and vertical planes. (300 words)

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“…Artificial ligament is frequently used in the reconstruction of ligament rupture management like anterior cruciate ligament reconstruction [6], acromioclavicular joint reconstruction [7], also the Achilles tendon reconstruction [5], etc. Artificial ligaments can promise a fast functional recovery and avoid complications.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Sodium Hyaluronate on Ligamentation and Biomechanical Property of Tendon in Repair of Achilles Tendon Defect with Polyethylene Terephthalate Artificial Ligament: A Rabbit Tendon Repair Model

et al. 2016

BioMed Research International

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The Achilles tendon is the most common ruptured tendon of human body. Reconstruction with polyethylene terephthalate (PET) artificial ligament is recommended in some serious cases. Sodium hyaluronate (HA) is beneficial for the healing of tendon injuries. We aimed to determine the effect of sodium hyaluronate in repair of Achilles tendon defect with PET artificial ligament in an animal tendon repair model. Sixteen New Zealand White rabbits were divided into two groups. Eight rabbits repaired with PET were assigned to PET group; the other eight rabbits repaired with PET along with injection of HE were assigned to HA-PET group. All rabbits were sacrificed at 4 and 8 weeks postoperatively for biomechanical and histological examination. The HA-PET group revealed higher biomechanical property compared with the PET group. Histologically, more collagen tissues grew into the HA-PET group compared with PET group. In conclusion, application of sodium hyaluronate can improve the healing of Achilles tendon reconstruction with polyethylene terephthalate artificial ligament.

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Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes

Abstract: Therapeutic study-prospective comparative study, Level II.

Cited by 37 publications

References 19 publications

Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Acromioclavicular joint reconstruction implants have differing ability to restore horizontal and vertical plane stability

The Effect of Sodium Hyaluronate on Ligamentation and Biomechanical Property of Tendon in Repair of Achilles Tendon Defect with Polyethylene Terephthalate Artificial Ligament: A Rabbit Tendon Repair Model

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