Coracoclavicular ligament repair and screw fixation in acromioclavicular dislocations

Esenyel, Cem Zeki; Öztürk, Kahraman; Bülbül, Murat; Ayanoğlu, Semih; Ceylan, Hasan Hüseyin

doi:10.3944/aott.2010.2329

Cited by 35 publications

(43 citation statements)

References 28 publications

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“…A re-displacement rate of 9-11 % (maximum upto 35% with vertical screw fixation) has been reported with coraco-clavicular fixation and about 5% after AC fixation. [11] In a study by Wei-Ching Lin, a 4.5 mm diameter of cancellous screw with supplementary techniques provided sufficient stability during the recovery period. The main advantage of this technique was its technical simplicity as compared with other techniques and the outcomes were largely similar.…”

Section: Discussionmentioning

confidence: 99%

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Ummadisetty¹

2017

AIMDR

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Section: Discussionmentioning

confidence: 99%

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Ummadisetty¹

2017

AIMDR

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“…In the current survey because we didn’t use the screw alone, there were no re-dislocations reported, but there was a case of screw fracture as described earlier. Esenyel et al in 2010 treated 32 patients with different ACJ dislocation types (3-6, 28) by coracoclavicular ligament reconstruction and coracoclavicular fixation. They used cancellous screws for 30 patients and cortical screws for the other 2; these 2 patients had screw cut-outs which led to a re-dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…No degenerative changes were seen in the patients and all patients had painless range of motion. Finally, these researchers reported that due to the great results and limited complications and also due to the low incidence of arthritis, this method was appropriate for the treatment of ACJ dislocation and restoration of normal shoulder function (28). Bektaser et al reported an 8.8% re-dislocation rate in patients treated by the Bosworth technique (29).…”

Section: Discussionmentioning

confidence: 99%

Acromioclavicular Joint Fixation Using an Acroplate Combined With a Coracoclavicular Screw

2013

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BackgroundAppropriate treatment of acromioclavicular joint dislocation is controversial. Acroplate fixation is one of the most common treatment methods of acromioclavicular joint (ACJ) dislocation. Based on the risk of re-dislocation after Acroplate fixation, we assumed that combined fixation with an Acroplate and a coracoclavicular screw helps improve the outcome.ObjectivesThe main purpose of the current study was to compare the outcome of ACJ dislocation treated with an Acroplate alone and in combination with coracoclavicular screw.Patients and MethodsThis study was carried out on 40 patients with ACJ dislocation types III to VI who were divided randomly into two equal groups: Acroplate group (P) and Acroplate in combination with coracoclavicular screw group (P + S). The screws were extracted 3-6 months postoperatively. The patients were followed for 1 year and Imatani’s score was calculated. Finally, the data were compared between the groups.ResultsThe mean Imatani’s score was significantly higher in P + S group (83.4 ± 14.1) than P group (81.2 ± 10.3) (P < 0.001). The mean duration of surgery was the same in the two groups (59.8 ± 9.4 minutes in group P V.s 64.3 ± 10.9 minutes in group P + S; P = 0.169). There were no cases of re-dislocation, degenerative changes and ossification and all patients returned to their previous jobs or sporting activities.ConclusionsUsing a coracoclavicular screw combined with an Acroplate can improve the patients’ function after ACJ disruption without any significant increase in surgical duration. Authors recommend this technique in the fixation of ACJ dislocation.

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“…Although it has been successful in treating acromioclavicular joint dislocations and distal clavicle fractures with good clinical results, there are still several complications such as infection, clavicular stress fracture, acromion fracture, and hook or screw cutout6-8. Screws and in combination with ligament reconstruction were recommended in treatment of acute complete acromioclavicular joint dislocation, and potential complications of this technique include suture cutout9-11. Other surgical techniques to stabilize the lateral clavicle and acromioclavicular joint include reconstruction of the coracoclavicular ligament by using a variety of suture materials or using autograft or allograft tissues12.…”

Section: Discussionmentioning

confidence: 99%

Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate

Liu

Miao²,

Lin³

et al. 2012

Int. J. Med. Sci.

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Objectives: We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated with micro-movable and anatomical acromioclavicular plate.Methods: Open reduction and internal fixation was performed using the MAAP in 16 patients (10 males, 6 females; mean age 36 years; range16 to 63 years) with acute complete acromioclavicular joint dislocation. Radiographic evaluations were routinely conducted every 3 weeks until 3 months postoperatively. The MAAP were removed under local anesthesia after 3 months postoperatively. We evaluated the functional results by using the constant scoring system and radiological results in the last follow-up time. The mean follow up was 26 months (range 16 to 38 months).Results: The mean Constant score was 94 (range, 78 to 100). The results were excellent in 12 patients (75.0%), good in 3 patients (18.8%) and satisfactory in 1patient (6.2%). Three patients with scores of 80 to 90 had mild pain during activity, but have not affected the shoulder range of motion. One patient has both some pain and limited range of motion of shoulder joint. All patients but one have returned to their preoperative work without any limitations. Compared to the contralateral side, radiography showed anatomical reposition in the vertical plane in 14 cases, slight loss of reduction in 2 older patients.Conclusion: We recommend the MAAP fixation for surgical treatment of acute complete acromioclavicular joint dislocation as it could provide satisfactory shoulder functions and clinical results, with lower complication rate. However, it is necessary to continue to observe the clinical effects of this fixation technique.

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Coracoclavicular ligament repair and screw fixation in acromioclavicular dislocations

Abstract: With ease of application, low complication rate, and low rate of acromioclavicular joint arthrosis, the modified Bosworth technique is an effective surgical method in providing satisfactory shoulder function in acromioclavicular dislocations.

Cited by 35 publications

References 28 publications

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Acromioclavicular Joint Fixation Using an Acroplate Combined With a Coracoclavicular Screw

Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate

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