Minimally Invasive Coracoclavicular Stabilization with Suture Anchors for Acute Acromioclavicular Dislocation

Choi, Sung Wook; Lee, Tong Joo; Moon, Kyoung Ho; Cho, Kyu Jung; Lee, Seung Yeol

doi:10.1177/0363546507312643

Cited by 51 publications

(51 citation statements)

References 18 publications

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“…12,14 An important fact in this study is the large number of cases with increase of the coracoclavicular distance observed in the postoperative period, higher than those found in literature for the treatment of AAD with suture anchors. 12,14 In patient number 20, submitted to revision of the surgical procedure, and in the five other patients initially excluded from the study due to loss of the AAD reduction 15 days postoperatively (which were also submitted to revision of the surgical procedure), it was observed that the reduction loss was related to rupture of the wire used in the eyelet of the anchor, not having any connection to the loosening of the suture anchor of the coracoid process or with its poor positioning. We understand that the wire ruptured due to wear and tear in its passage through the suture anchor eyelet, where the wire is submitted to considerable tension force in a small contact area.…”

Section: 19mentioning

confidence: 65%

“…Notwithstanding the diversity of available techniques, as described above, this study focused on the stabilization technique between clavicle and coracoid process, particularly with the use of metallic anchors, which we shall now analyze here. The stabilization technique between clavicle and coracoid process with the subcoracoid ligation technique, through endobuttons or anchors, has been described by several authors [6][7][8][9][10]12 with satisfactory results. It has the advantage of not requiring removal of the synthesis material, besides having proven effective in the reestablishment and maintenance of AC joint reduction.…”

Section: 19mentioning

confidence: 99%

“…The reason why the group with ligation appeared slightly less stable was possibly related to the fact that their sutures were concentrated more at the base of the coracoid process with the start of the applied load, thus generating slight suture looseness. Literature contains few studies analyzing clinical results of coracoclavicular stabilization treatment with the use of suture anchors 12 , whereas they all used the open approach technique. A series of cases of coracoclavicular fixation with metallic anchors using the arthroscopic approach technique was presented in our study.…”

Section: 19mentioning

confidence: 99%

“…Moreover, it enables better intraand extra-articular inspection, thus allowing the identification and treatment of associated lesions. 8,9,12,13 One option for the surgical treatment of AAD is coracoclavicular stabilization with use of two suture anchors, 12,14,15 loaded with two highly resistant, non-absorbable suture threads, fixed in the coracoid process and sutured in the clavicle through bone tunnels. The aim of this study is to present the clinical, functional and radiographic results of a series of cases with AAD treated surgically by arthroscopic approach, with CC fixation using metallic suture anchors.…”

Section: Introductionmentioning

confidence: 99%

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Tratamento artroscópico da luxação acromioclavicular aguda com âncoras

et al. 2011

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OBJETIVO: Apresentar os resultados clínicos e radiográficos de uma série de casos com diagnóstico de Luxação Acromioclavicular (LAC) Aguda, tratados através da fixação coracoclavicular com âncoras por via artroscópica. MÉTODO: Vinte pacientes apresentando LAC com menos de 30 dias de evolução foram operados pela técnica da estabilização coracoclavicular com âncoras por via artroscópica. Duas âncoras metálicas com dois fios cada, foram inseridas no coracóide. Os fios foram amarrados sobre a clavícula passando por túneis transósseos claviculares. Para a avaliação radiográfica, foi utilizada a medida comparativa da distância coracoclavicular com o lado contralateral e a avaliação funcional através dos escores de Constant e UCLA o seguimento foi de seis meses. RESULTADO: Dos vinte casos inicialmente selecionados, seis necessitaram de novo procedimento cirúrgico e foram excluídos do estudo. Dos quatorze pacientes restantes, apenas dois mantiveram redução da articulação acromioclavicular, enquanto os demais apresentaram algum grau de desvio no decorrer da evolução. Desconsiderando os pacientes excluídos, os escores de Constant e UCLA tiveram média 94,79 (82-100) e, 32,64 (26-35), respectivamente. CONCLUSÃO: A técnica apresentou um alto índice de perda da redução ao longo da evolução de seis meses. A avaliação funcional apresentou resultado satisfatório com escore médio elevado de Evidência: Nível de Evidência: Nível III, estudo retrospectivo.

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Section: 19mentioning

confidence: 65%

Section: 19mentioning

confidence: 99%

Section: 19mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tratamento artroscópico da luxação acromioclavicular aguda com âncoras

et al. 2011

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“…4,7 These studies demonstrated superior outcomes for high-grade injuries treated surgically. Additional controversy exists as to the best surgical technique among over 70 different described procedures [4,[9][10][11][12][13][14][15][16] .…”

mentioning

confidence: 99%

Functional and radiological outcomes of acromioclavicular joint reconstruction in type iii disruption without allograft with synthetic materials

Mandice¹,

Kumar²,

Anandan³

2017

Int. J. Orthop. Sci.

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Introduction: Effectiveness of surgery for complete Acromio-clavicular Joint (ACJ) dislocation is controversial. We analyzed the long-term Functional and radiological outcome after in on Acromioclavicular ligament reconstruction by modified Mazzocca technique for Type 3 dislocations. Aim: To study the functional and radiological outcomes of acromioclavicular joint reconstruction in type III disruption without allograft with synthetic materials Method: Retrospective analysis of case records and patient reviewed to assess the long-term functional and radiological outcome by patient satisfaction, UCLA shoulder rating score and coracoclavicular distances. Results: We had 38 cases of Type 3 Acromio-clavicular dislocations over a period of 5 years. Mean age of the entire group was 42.1 years (26 to 57). Among them, 32 are males and six females. Three patients were lost their follow-up during the post-op rehabilitation period; among them, two were presented with infection, one with shoulder stiffness. Long-term functional and radiological outcomes were regarding UCLA shoulder rating score, patient satisfaction and coracoclavicular distances compared with the uninjured shoulder. Conclusions: More aggressive management of acromioclavicular dislocation needed to avoid poor results with chronic injuries, and we have moved toward without graft and earlier surgical intervention. We recommend modified Mazzocca technique used in the management of Grade 3 Acromio-clavicular joint dislocation for the following reasons (A). Better short-term functional and radiological outcome and low risk of complications (B). No need graft harvesting surgery and decreased donor site morbidity.

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