Loss of reduction and complications of coracoclavicular ligament reconstruction with autogenous tendon graft in acute acromioclavicular dislocations

Choi, Nam Hong; Lim, Seok Min; Lee, Sang Young; Lim, Tae Kang

doi:10.1016/j.jse.2016.09.014

Cited by 59 publications

(68 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mean time from injury to surgery was 6.8 ± 3.8 days (range, 2-14). The mean time to return to work was 11.2 ± 2.9 weeks (range, [8][9][10][11][12][13][14][15][16][17][18][19][20]. When trauma mechanisms are examined, 15 patients were injured while doing sports, 14 patients were injured after a traffic accident, 5 patients were injured after falling from height and 2 patients were injured during a fight.…”

Section: Resultsmentioning

confidence: 99%

“…Recently, some authors have suggested CC ligament reconstruction by using tendon grafting [23]. However, in another study, 47% reduction loss and 20% complications were seen after CC ligament reconstruction with an autologous tendon graft, which adversely affected the results [11]. Many previous open procedures treating the AC joint dislocation without tendon reconstruction, such as hook plate fixation, K-wire and Bosworth type screw fixation, have shown good results after the implants were removed.…”

Section: Discussionmentioning

confidence: 99%

“…In order to solve complications such as reduction loss, techniques including opening of a second tunnel [9], supporting the existing tunnel with anchor to the coracoid [10] and using tendon graft [11] have been proposed by different authors. However, none of these techniques have been widely accepted.…”

Section: (Continued From Previous Page)mentioning

confidence: 99%

See 2 more Smart Citations

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results

Çarkçı¹,

Polat

Gürpınar³

2020

J Orthop Surg Res

View full text Add to dashboard Cite

Background: The aim of this study was to investigate the effect of reduction loss of more than 3 mm on clinical and radiological results after at least 2 years of follow-up after arthroscopic fixation of acute acromioclavicular joint dislocations using a double-button device. Methods: Thirty-six patients who had acute (< 3 weeks old), type III or V acromioclavicular (AC) joint dislocations underwent arthroscopic fixation of the AC joint using a double-button device. Clinical and radiological evaluations were performed at preoperative, postoperative first day, 3 months and last follow-up. When the coracoclavicular (CC) distances of patients at the last follow-up were compared to the early postop CC distances, those with a difference of 3 mm or less were grouped as group A and those with a difference of more than 3 mm were grouped as group B.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results

Çarkçı¹,

Polat

Gürpınar³

2020

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…However, in another study, 47% reduction loss and 20% complications were seen after CC ligament reconstruction with an autologous tendon graft, which adversely affected the results [11]. Many previous open procedures treating the AC joint dislocation without tendon reconstruction, such as hook plate fixation, K-wire, and Bosworth type screw fixation have shown good results after the implants were removed.…”

Section: Discussionmentioning

confidence: 97%

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results

Çarkçı

Polat

Gürpınar

2020

Preprint

View full text Add to dashboard Cite

BackgroundThe aim of this study was to investigate the effect of reduction loss of more than 3 mm on clinical and radiological results after at least 2 years of follow-up after arthroscopic fixation of acute acromioclavicular joint dislocations using a double-button device. MethodsThirty-six patients who had acute (<3 weeks old), type III or V Acromioclavicular (AC) joint dislocations underwent arthroscopic fixation of the AC joint using a double-button device. Clinical and radiological evaluations were performed at preoperative, postoperative first day, 3 months and last follow-up. When the coracoclavicular (CC) distances of patients at the last follow-up were compared to the early postop CC distances, those with a difference of 3 mm or less were grouped as group A and those with a difference of more than 3 mm were grouped as group B.

show abstract

“…Another study by Martetschlager et al 5 reported a 23% rate of loss of reduction and 27% rate of complications after fixation or tendon grafting of the coracoclavicular ligaments. More recently, Choi et al 6 also showed high rates of loss of reduction (47%) and complications (20%) after autogenous tendon grafting and demonstrated that complications were associated with poor outcomes in their patients. The overall complication rate in this systematic review is only 6%, which is quite low, compared with 20% to 44% in other studies.…”

mentioning

confidence: 96%

Editorial Commentary: Return to Sport After Surgical Treatments of the Acromioclavicular Joint Dislocation Seems to Be Almost Perfect in the Literature

Lim¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

Self Cite

View full text Add to dashboard Cite

Systematic reviews identify completed studies that address a research question and evaluate the results of these studies to arrive at conclusions about a body of research. They should be encouraged because the findings, with power enhanced by the larger sample size available from the combined studies, often represent an important scientific contribution. The systematic review findings also can be a useful background for developing practice guidelines in the future. One of limitations of this approach is a risk of publication bias. Studies with negative results are more likely to remain unpublished or excluded from the review owing to a lack of reporting outcome of the specific interest. Although publication bias is difficult to eliminate, it should be addressed by the authors with appropriate statistical procedures that may be helpful in detecting its presence. Negative results should not be masked by overall good outcomes. This rather long caveat relates to a recent review showing that return to sport after surgical treatments of acromioclavicular joint dislocation seems to be almost perfect in the literature. Perfection is rare, so publication bias could be a limitation of the review.

show abstract

Loss of reduction and complications of coracoclavicular ligament reconstruction with autogenous tendon graft in acute acromioclavicular dislocations

Cited by 59 publications

References 21 publications

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results

Editorial Commentary: Return to Sport After Surgical Treatments of the Acromioclavicular Joint Dislocation Seems to Be Almost Perfect in the Literature

Contact Info

Product

Resources

About