Palmaris longus tendon graft versus modified Weaver-Dunn procedure via dynamic button system for acromioclavicular joint reconstruction in chronic cases

Kocaoğlu, Barış; Ülkü, Tekin Kerem; Gereli, Arel; Karahan, Mustafa; Türkmen, Metin

doi:10.1016/j.jse.2017.01.024

Cited by 33 publications

(54 citation statements)

References 18 publications

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“…In our series, we have had 1 recurrence in the vertical and horizontal plane in the same patient, and although the literature shows that a certain amount of vertical loss of reduction is usually well tolerated by the patient, from a clinical point of view, 42 , 71 the same does not happen with horizontal instability, because even lower degrees of recurrence are associated with poorer results, as we can see in our case number 2 ( Fig. 9 ).…”

Section: Discussionsupporting

confidence: 58%

Chronic acromioclavicular dislocations: multidirectional stabilization without grafting

Cano-Martínez¹,

Nicolás-Serrano²,

Bento-Gerard³

et al. 2020

JSES International

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Objective Clinical and radiological evaluation of the surgical treatment of chronic acromioclavicular (AC) dislocations with triple button device and AC joint augmentation. Materials and Methods This retrospective study included 21 patients with chronic AC dislocations. All patients underwent bilateral-weighted Zanca and Alexander views as well as the Constant score (CS) and Acromioclavicular Joint Instability Scoring System (ACJI). Results A total of 21 patients (19 men and 2 women) with the mean age of 30.7 ± 11.7 years (range, 19-62 years) were able to participate in clinical and radiographic follow-up. After a mean follow-up of 49.7 ± 17.1 months (range, 13-60 months), the results of the CS were 95.2 ± 5.5 (range, 85-100) and ACJI test 89.7 ± 7.9 (range, 75-100), showing no significant differences with the uninjured shoulder (CS, 96.2 ± 3.9; range, 85-100; ACJI, 95.7 ± 4.1; range, 85-100). At the final review, we observed that the preoperative coracoclavicular distance (Zanca view) improved from 12.8 ± 1.5 mm to 8.5 ± 1.3 mm and the AC distance (Alexander view) from 7.8 ± 2.3 mm to 0.99 ± 0.91 mm. Compared with healthy shoulder, these differences were not significant. Osteoarthritis or radiological calcifications were not associated with worse clinical outcomes. Conclusion The triple button device is an acceptable alternative surgical method for chronic AC joint dislocations. The surgical technique is simple; it does not need a graft, nor does it present major complications, and material extraction is unnecessary.

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Section: Discussionsupporting

confidence: 58%

Chronic acromioclavicular dislocations: multidirectional stabilization without grafting

Cano-Martínez¹,

Nicolás-Serrano²,

Bento-Gerard³

et al. 2020

JSES International

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“…70 Kocaoglu et al compared an autogenic palmaris longus graft to a modified Weaver-Dunn procedure in chronic dislocations and postulated benefits for the graft group with significantly better outcome scores. 60 When comparing the modified Weaver-Dunn procedure to synthetic ligaments for the treatment of chronic dislocations, the synthetic ligament resulted in better outcome scores as well as earlier return to work and sport. 71 In a systematic review by Borbas et al tendon or ligament transfers, such as the Weaver-Dunn procedure, showed inferior clinical and radiological outcomes when compared to non-biological (e.g.…”

Section: Ligament and Tendon Transfersmentioning

confidence: 96%

“…57 To further improve healing and initial stability of the construct, numerous changes to the original technique such as additional augmentation (e.g. sutures, screws, suspensory button devices, plates) [58][59][60][61][62] and fixation techniques (e.g. bone chip from the acromion) 63,64 were introduced.…”

Section: Ligament and Tendon Transfersmentioning

confidence: 99%

“…Although, allografts and autografts such as palmaris longus, 60,82 flexor carpi radialis, 82 peroneus longus, 83 and tibialis anterior tendons 84 have been utilized for the treatment of AC joint dislocations, hamstring tendons are most commonly used. 53,64,77,[84][85][86][87] Tendon grafts are used in both acute and chronic AC joint dislocations, however, they are most beneficial in chronic AC joint injuries, since in order to facilitate healing, biological augmentation is needed.…”

Section: Reconstruction With Allo-and Autograftsmentioning

confidence: 99%

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<p>Optimal Management of Acromioclavicular Dislocation: Current Perspectives</p>

Nolte¹,

Lacheta²,

Dekker³

et al. 2020

ORR

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Injuries to the acromioclavicular (AC) joint are common and mostly involve younger, male individuals. Whereas the majority of AC joint dislocations can be treated nonoperatively with a trial of immobilization, pain medication, cryotherapy, and physiotherapy, there are patients that do not respond well to conservative management and may require surgical treatment. Identifying and treating these patients according to the type and chronicity of AC joint dislocation is paramount. To date, a myriad of surgical techniques have been proposed to address unstable AC joint dislocations and are indicative of the uncertainty that exists in optimal management of these injuries. Historically research has focused on the restoration of the coracoclavicular ligament complex. However, recently the importance of the acromioclavicular capsule and ligaments has been emphasized. This review aims to provide the reader with an overview of current treatment strategies and research, as well as future perspectives.

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“…The palmaris longus (PL) tendon is one of the most commonly used donors for autologous tendon graft or tendon transfer (Cain et al., 2010; Jakubietz et al., 2011; Kocaoglu et al., 2017). Confirmation of the presence of a PL tendon therefore, is critical for planning any of these procedures.…”

Section: Introductionmentioning

confidence: 99%

Detection of the palmaris longus tendon: physical examination versus sonography

Holzgrefe

Anastasio

Farley

et al. 2019

J Hand Surg Eur Vol

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This study investigated the sensitivity, specificity, and accuracy of physical examination compared with high resolution sonography for the detection of the palmaris longus tendon in 136 wrists. The incidence of tendon absence was 10% by sonography and 14% by physical examination. The sensitivity of the physical examination was 94% and the specificity 86% compared with sonography as the reference standard. Accurate identification of the palmaris longus tendon through physical examination was not influenced by body mass index or wrist circumference. Upon review of the sonography images, none of the palmaris longus tendons missed on physical examination were considered to be adequate for grafting based on expert opinion. While physical exam was 93% accurate for detection of the palmaris longus tendon compared with ultrasound, our study suggests that it is sufficient for detection of those tendons that can be used as donors clinically.

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Palmaris longus tendon graft versus modified Weaver-Dunn procedure via dynamic button system for acromioclavicular joint reconstruction in chronic cases

Cited by 33 publications

References 18 publications

Chronic acromioclavicular dislocations: multidirectional stabilization without grafting

Chronic acromioclavicular dislocations: multidirectional stabilization without grafting

<p>Optimal Management of Acromioclavicular Dislocation: Current Perspectives</p>

Detection of the palmaris longus tendon: physical examination versus sonography

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