Acromioclavicular reconstruction using autogenous semitendinosus tendon graft: Results of revision surgery in chronic cases

Tauber, Mark; Eppel, Manfred; Resch, Herbert

doi:10.1016/j.jse.2006.10.009

Cited by 63 publications

(48 citation statements)

References 13 publications

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“…In 2001, Jones et al 11 described a case in which they obtained an optimal result. Later on other studies, with a larger number of cases, 12,19 showed excellent clinical and radiographic results similar to that found in our study. More recently, Tauber et al 20 carried out a prospective study comparing the Weaver-Dunn technique with tendon reconstruction and obtained superior clinical and radiographic results when using the last technique.…”

Section: Discussionsupporting

confidence: 91%

“…Like Nicholas et al 19 , we performed the reconstruction fixing the graft through a single bone tunnel in the clavicle. However, other authors 12,20,21 preferred to perform this fixation through two tunnels with the objective of reproducing the anatomical orientation of the conoid and trapezoid ligaments. It should be noted that the creation of two tunnels in the clavicle increases the risk of fracture particularly in narrower clavicles or when it is necessary to create larger tunnels for the passage of wider grafts.…”

Section: Discussionmentioning

confidence: 99%

“…11 However, due to better mechanical resistance as well as vast experience in knee ligament reconstructions, knee flexor tendons (semitendinosus and/or gracile) have been used more recently. [12][13][14] The aim of this study is to evaluate the radiographic and functional results of patients that have undergone treatment for chronic AC dislocations with reconstruction of the coracoclavicular ligaments with semitendinosus graft.…”

Section: Introductionmentioning

confidence: 99%

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Reconstrução coracoclavicular com enxerto tendíneo na luxação acromioclavicular crônica

et al. 2011

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Objective: The aim of this study is to present the radiographic and functional results of patients undergoing treatment for chronic acromioclavicular dislocation with coracoclavicular ligament reconstruction using tendon graft. Method: Between 2007 and 2008, fifteen patients with chronic Rockwood type III through V acromioclavicular joint dislocations underwent reconstruction of the coracoclavicular ligaments using semitendinosus tendon graft. Two patients were excluded due to inadequate follow up. Thirteen patients were followed up clinically and radiographically after a mean of 16 months (range 12-26 months). Clinical evaluation was performed using the UCLA and Constant scores. Preoperative and postoperative radiographs were compared. Results: In this group of 13 patients followed up for at least one year, the Constant score ranged from 60.9 (26-88) in the preoperative evaluation to 87 (60-98) at the last evaluation during the postoperative period (p< .001). The mean UCLA score improved from 16.8 points (11-27) to 33 (29-35) points. (p=0.001). After 1 year of follow-up, the postoperative radiographic control showed twelve patients (92%) with equal coracoclavicular distance between the affected and unaffected shoulders. No anteroposterior translation in the axial view was present in any of the shoulders operated on. Conclusion: The functional and radiographic results were very satisfactory in patients undergoing reconstruction of chronic acromioclavicular dislocations, with a low recurrence rate. Level of Evidence: Level IV, case series.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reconstrução coracoclavicular com enxerto tendíneo na luxação acromioclavicular crônica

et al. 2011

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“…Although a rare condition, chronic instability of the AC joint can lead to tremendous impairment of shoulder function including muscle fatigue, scapular dyskinesia, subjective sensation of heaviness of the injured upper limb, and painful horizontal adduction. 9 Today, surgeons widely agree that a biological augmentation is required in chronic cases to enhance the healing potential of the torn structures. 8,10,11 Laboratory studies showed that anatomic reconstruction with double graft tendons showed native-like biomechanical properties 12 and clinical data showed promising results.…”

mentioning

confidence: 99%

“…8,10,11 Laboratory studies showed that anatomic reconstruction with double graft tendons showed native-like biomechanical properties 12 and clinical data showed promising results. 9,13 With the progress of arthroscopic techniques, arthroscopically assisted techniques for graft reconstruction of the AC joint have been described. 10,14 For chronic cases usually open or arthroscopically assisted procedures for graft augmentation have been proposed.…”

mentioning

confidence: 99%

Arthroscopically Assisted Acromioclavicular and Coracoclavicular Ligament Reconstruction for Chronic Acromioclavicular Joint Instability

Martetschläger

Tauber

Habermeyer³

et al. 2016

Arthroscopy Techniques

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Acromioclavicular (AC) joint injuries are common injuries, especially in the young and active, male population. AC joint injuries account for 12% of all injuries of the shoulder girdle in the overall population. Although conservative treatment is recommended for Rockwood type I and type II injuries, there is controversial debate about optimal treatment for type III injuries. High-grade injuries are typically treated operatively to avoid painful sequelae. A vast number of different surgical methods have been described over the past few decades. Recent advances in arthroscopic surgery have enabled the shoulder surgeon to treat acute and chronic AC lesions arthroscopically assisted. Clinical studies have already shown good and reliable results. Although surgeons agree that a biological augmentation is required to minimize the risk of recurrent instability in chronic cases, a gold standard still needs to be defined. We present an arthroscopically assisted biological augmentation technique to reconstruct the AC and coracoclavicular ligaments, protected by a button-suture tape construct for chronic AC joint instability. The presented arthroscopic biological augmentation technique uses less and/or smaller drill holes in the clavicle and coracoid than previously described, thus reducing weakening of the bony structures. At the same time it enhances both horizontal and vertical stability.

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Acromioclavicular Joint

MSc

McKee

2011

Evidence‐Based Orthopedics

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Acromioclavicular reconstruction using autogenous semitendinosus tendon graft: Results of revision surgery in chronic cases

Cited by 63 publications

References 13 publications

Reconstrução coracoclavicular com enxerto tendíneo na luxação acromioclavicular crônica

Reconstrução coracoclavicular com enxerto tendíneo na luxação acromioclavicular crônica

Arthroscopically Assisted Acromioclavicular and Coracoclavicular Ligament Reconstruction for Chronic Acromioclavicular Joint Instability

Acromioclavicular Joint

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