Operative treatment of acute acromioclavicular dislocations Rockwood III and V—Comparative study between K-wires combined with FiberTape® vs. TightRope System®

Vrgoč, Goran; Japjec, Mladen; Jurina, Petra; Gulan, Gordan; Janković, Saša; Sebecic, Bozidar; Silva, Mario

doi:10.1016/j.injury.2015.10.053

Cited by 28 publications

(36 citation statements)

References 22 publications

(33 reference statements)

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“…According to the CMS, there was no significant difference between the two methods. In the meantime, their CMS showed similar outcomes compared with other literatures 22 .…”

Section: Discussionsupporting

confidence: 68%

Surgical treatment of acute Rockwood III acromioclavicular dislocations—Comparative study between two flip-button techniques

Wang

et al. 2020

Sci Rep

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Acromioclavicular joint dislocation is a common shoulder injury, usually caused by direct violence on the shoulder. optimal treatment of type iii is still a hot discussion currently in orthopedic surgeons. With the advent of many flip-button techniques, Tightrope system and Endobutton system become popular techniques for reconstruction of coracoclavicular ligaments. the purpose of the study was to compare the clinical and radiological results between the two techniques. A retrospective casecontrol study was conducted in 60 patients with acute Rockwood III acromioclavicular joint dislocation. the two techniques conducted were open procedures using twin tail tightrope system (Group A, n = 30) and Endobutton system (Group B, n = 30). 60 patients were followed up at least two years. Surgical parameters including incision length, operation time and operative blood loss were analyzed. Functional outcomes were evaluated using the Constant-Murley Score. Radiological results were assessed based on coracoclavicular distance preoperatively, one day postoperatively, and at the final follow-up. 60 patients were followed up for at least 24 months (range 24 to 32). The incision length and operation time were shorter in Group A than that in Group B. The blood loss of surgery was significantly less in the Group A. There were no significant differences between the two groups regarding the Constant-Murley Score at the final follow-up. No significant differences were found in the coracoclavicular distance preoperatively, immediately postoperatively, and at the final follow-up. Both techniques offered satisfying functional outcomes, however the Tightrope system provided better surgical parameters.

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“…According to the CMS, there was no significant difference between the two methods. In the meantime, their CMS showed similar outcomes compared with other literatures 22 .…”

Section: Discussionsupporting

confidence: 68%

Surgical treatment of acute Rockwood III acromioclavicular dislocations—Comparative study between two flip-button techniques

Wang

et al. 2020

Sci Rep

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“…The management of AC injuries is still a controversial matter; however, a consensus has been reached between the so-called low-energy and high-energy trauma patterns. 14 Type I and type II injuries are the result of low-energy forces and they are treated by conservative methods using either a harness or a sling. 15 On the other hand, type IV, V and VI injuries all result from high-energy forces and they are generally treated by operative methods.…”

Section: Introductıonmentioning

confidence: 99%

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

2018

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Acromioclavicular (AC) joint injury is a frequent diagnosis after an acute shoulder trauma – often found among athletes and people involved in contact sports.This injury occurs ﬁve times more frequently in men than in women, with the highest incidence in the 20- to 30-year-old age group. Patients usually complain of pain and tenderness over the shoulder, particularly over the AC joint.Depending on the degree of injury, the clavicle may become prominent on the injured site.The original classification was described by Rockwood and Green according to the injured ligament complex and degree and direction of clavicular displacement.Many surgical procedures have been described; among these are screws, plates, muscle transfer, ligamentoplasty procedures and ligament reconstruction using either autograft or allografts.With the advancement of shoulder arthroscopy, surgeons are much more capable of performing mini-open or arthroscopically-assisted procedures, allowing patients an earlier return to their daily living activities. However, the results of conventional open techniques are still comparable.The introduction of new arthroscopic equipment provides a great variety of surgical procedures, though every new technique has its own advantages and pitfalls. Currently there is no gold standard for the surgical treatment of any type of AC injury, though it should be remembered that whenever an arthroscopic technique is chosen, the surgeon’s expertise is likely to be the most significant factor affecting outcome.Cite this article: EFORT Open Rev 2018;3:426-433. DOI: 10.1302/2058-5241.3.170027

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“…None of current techniques has showed superior to the others 8, 28, 45, 46, 47, 48, 49, 50. Because the traditional fixation methods may lead to residual pain, inferior shoulder function and inadequate remaining instability,47, 48, 49, 50, 51 some authors suggested using button and rope system for fixation 52, 53. The double double-button suture CC-stabilizing reduced pain and yielded better functional results than hook plate fixation 53 …”

Section: Discussionmentioning

confidence: 99%

Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation

Chang¹,

Hong²,

Su³

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to compare the clinical and radiographic outcomes of clavicular hook plate fixation with and without coracoclavicular (CC) tape augmentation for the treatment of acute unstable AC dislocation.MethodsWe treated 47 patients (31 men and 16 women; mean age: 47 years (range, 21–81)) with unstable acute AC dislocations (Rockwood III–V) and divided them into two groups according to the treatment modality, with hook plate fixation (hook plate group) or hook plate plus CC tape augmentation (combined group). We assessed radiologic findings, such as subacromial osteolysis and AC osteoarthritis. We also evaluated the clinical outcomes using a visual analogue scale (VAS) for pain, as well as the University of California at Los Angeles (UCLA) Shoulder Rating Scale and the American Shoulder and Elbow Surgeons (ASES) Shoulder Score.ResultsWe found that the combined group had less subacromial osteolysis upon radiography, although the CC distance was similar in both groups (119 ± 29.7% of contralateral side CC distance in hook plate group versus 119 ± 34.8% in the combined group, p = 0.77). Compared with the hook plate group, the combined group had a lower VAS score (4.5 ± 2.3 in hook plate group versus 2.3 ± 1.4 in the combined group, p < 0.001), better UCLA scores (19.9 ± 4.9 in hook plate group versus 27.2 ± 4.0 in the combined group, p < 0.001) as well as better ASES scores (51.9 ± 17.8 in hook plate group versus 73.8 ± 13.1 in the combined group, p < 0.001) at 3 and 6 months after surgery.ConclusionHook plate fixation plus CC tape augmentation may prevent subacromial osteolysis and yield better short-term functional outcomes.Level of EvidenceLevel III, Therapeutic Study.

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Operative treatment of acute acromioclavicular dislocations Rockwood III and V—Comparative study between K-wires combined with FiberTape® vs. TightRope System®

Cited by 28 publications

References 22 publications

Surgical treatment of acute Rockwood III acromioclavicular dislocations—Comparative study between two flip-button techniques

Surgical treatment of acute Rockwood III acromioclavicular dislocations—Comparative study between two flip-button techniques

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation

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