Comparing mini-open and arthroscopic acromioclavicular joint repair: functional results and return to sport

Faggiani, Marianna; Vasario, G.; Mattei, Lorenzo; Calò, Michel; Castoldi, Filippo

doi:10.1007/s12306-016-0411-6

Cited by 29 publications

(21 citation statements)

References 42 publications

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“…Rest all 25 patients returned to their pre-injury level of function at a mean of 6 months. The mean Oxford Shoulder Score and results in our study are similar or even better to the recent newer techniques [34,35] . Moreover surgical management of ACJ dislocation using modified Weaver-Dunn procedure does not require costly and sophisticated instruments and can be done easily in any basic surgical setup even in rural area with limited availability of resources.…”

Section: Discussionsupporting

confidence: 82%

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

Kriplani¹,

Parikh²,

Kulkarni³

et al. 2020

Int. J. Orthop. Sci.

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Background: The ideal surgical management for Acromioclavicular joint dislocation (ACJ) is debatable and is unsolved as newer and more sophisticated techniques are being continuously evolved. The present study evaluates the functional outcome of ACJ reconstruction using the modified Weaver-Dunn procedure in rural setup where availability of latest implant is difficult. Materials and Methods: 30 patients (20 males, 10 females) with ACJ dislocation, between the age group of 18 years to 48 years (mean age 30 years), were operated using modified Weaver-Dunn procedure at our institute from JUNE 2017 to DECEMBER 2019. The dominant side was involved in 25 patients (17 right side, 8 left side). The mean period from the time of injury to the surgery was 8 days (range 3 to 16 days). All the patients were assessed with Oxford Shoulder Score (OSS) and time required to complete functional return to their work was assessed. Results: At the mean follow up of 6 months, the mean Oxford Shoulder Score improved from 23.36 (± 5.56) to 44.0 (± 4.1), 25 out of 30 patients had satisfactory results, while 5 out of 30 patients had mild shoulder dysfunction using Oxford Shoulder scoring system. Of these 5 patients who had mild shoulder dysfunction, 2 developed ossification around the coracoclavicular ligament and 1 patient had intermittent mild pain without any functional disability, 1 patient had a moderate stiffness at shoulder joint movements, and 1 patient had postoperative superficial infection. Conclusion: ACJ reconstruction using the modified Weaver-Dunn procedure in ACJ dislocation in rural setup is a good method and provides a good functional outcome without the use of latest sophisticated implants and instruments.

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Section: Discussionsupporting

confidence: 82%

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

Kriplani¹,

Parikh²,

Kulkarni³

et al. 2020

Int. J. Orthop. Sci.

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“…Five out of 12 studies included in the present review were also reviewed by Kay et al; however, the present review included 7 additional studies reporting on return to sport outcomes after high-grade AC dislocation, one of which was an RCT. In contrast to Kay et al, we excluded three studies [4, 11, 37] due to lack of data on the practicing of sports pre-injury and four studies due to a sample size of less than 20 athletes [1, 6, 28, 36]. Another methodological difference was the approach to non-stratified data on mixed populations.…”

Section: Discussionmentioning

confidence: 99%

Return to sport after surgical treatment for high-grade (Rockwood III–VI) acromioclavicular dislocation

Verstift

Welsink

Spaans

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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PurposeAcromioclavicular (AC) joint dislocations are common in a young and active population, especially in people performing contact sports. Full recovery with a fast and high rate of return to sport is desirable. This systematic review aims to combine patient outcomes in order to help surgeons in addressing patient expectations regarding the return to sport after surgical intervention for AC dislocations.MethodsTo conduct this systematic review, the PRISMA guidelines were followed. Articles were included if written in English or Dutch and evaluated return to sport after any type of surgical intervention for Rockwood types III to VI AC dislocations in patients practicing sports. Outcome parameters were return to sport, time to return to sport, level of sport, functional outcome scores and complications.ResultsTwelve studies involving 498 patients were included, of which 462 patients practiced sports. 432 (94%) patients returned to sport. The weighted mean time to return to sport was 4.0 months. 338 out of 401 patients (84%) returned to the same level of pre-injury sport and 35 patients (9%) lowered their level of sport. The weighted mean Constant score was 92 out of 100.ConclusionThe rate of return to sport after surgical intervention for Rockwood (RW) III–VI AC dislocations is high. However, the level of evidence was low and due to the methodological heterogeneity between studies, subgroup analyses of return to sport outcomes were not feasible.Level of evidenceSystematic review of level I–IV studies, level IV.

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“…The mean Oxford shoulder score and results in our case series are either similar or better to the recent newer techniques. 34 35 …”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation

Gupta

Sood

Malhotra

et al. 2018

IJOO

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Background:The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified Weaver Dunn procedure.Materials and Methods:35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18–48 years (mean age 31 years), were operated using modified Weaver Dunn procedure at our center from May 2005 to June 2010. The dominant side was involved in 25 patients (22 right, 13 left). The mean period from the time of injury to the surgery was 14 days (range 4–26 days). All the patients were assessed with Oxford shoulder score and the time required to return to preinjury level was recorded.Results:At the mean followup of 95 months (range 72–120 months), the mean Oxford Shoulder Score improved from 25 ± 7.2 to 43 ± 6.9. 85% (30 out of 35) patients had satisfactory results, while 15% (5 out of 35) had mild shoulder dysfunction using this scoring system. Five patients had radiological evidence of Grade 2 ACJ subluxation. Out of these five patients, two developed ossification around the coracoclavicular ligament. Three patients had intermittent mild pain without any functional disability, and one had a moderate restriction of shoulder movements.Conclusion:ACJ reconstruction, using the modified Weaver Dunn procedure in ACJ dislocation, is a reproducible procedure and provides a good functional outcome.

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Comparing mini-open and arthroscopic acromioclavicular joint repair: functional results and return to sport

Cited by 29 publications

References 42 publications

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

Return to sport after surgical treatment for high-grade (Rockwood III–VI) acromioclavicular dislocation

Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation

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