Reconstruction of the Acromioclavicular Joint Using a Double Augmentation With Hamstrings Tendon and Dermal Graft

Rodríguez, Marta Pérez; González, Andrea Paniagua; Gómez, Ignacio González; Fernández, Juan Pablo Aguado; Asensio, Álvaro José Minuesa

doi:10.1016/j.eats.2022.08.049

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Some scholars have found that non-rigid fixation is more in line with the biomechanics of acromioclavicular joints, which is conducive to anatomical reduction and later functional rehabilitation exercise. More and more scholars have used non-rigid fixation to treat acromioclavicular joint dislocation and achieved good clinical results ( Mardani-Kivi et al, 2013 ; Pérez et al, 2023 ). The rigid fixed structure of the hook plate also makes the shoulder wear the acromion when the shoulder is undergoing abduction exercise rehabilitation, resulting in acromion impingement syndrome ( Ko et al, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of allogeneic tendon material coracoclavicular ligament reconstruction combined with Kirschner wire and titanium alloy hook plate material fixation in the treatment of acromioclavicular joint dislocation

Du,

Xu,

et al. 2024

Front. Bioeng. Biotechnol.

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ObjectiveTo compare the effects of allogeneic tendon coracoclavicular ligament reconstruction combined with Kirschner wire fixation and clavicular hook plate fixation on early postoperative pain, postoperative shoulder joint function score and shoulder joint mobility in patients with acromioclavicular joint dislocation.MethodsFrom January 2020 to January 2023, 43 patients with acromioclavicular joint dislocation admitted to Xi ‘an Honghui Hospital were included. Among them, 24 patients were treated with the clavicular hook plate technique (Hook Plate,HP) group, and 19 patients were treated with allogeneic tendon coracoclavicular ligament reconstruction combined with the Kirschner wire technique (Allogeneic Tendon, AT) group. The Constant-Murley score of shoulder joint function 6 months after operation, postoperative shoulder joint activity, preoperative and postoperative pain, operation time, intraoperative blood loss and complications were compared between the two groups.ResultsAll 43 patients were followed up for an average of 9.7 (9–12) months. The intraoperative blood loss in the allogeneic tendon group was less than in the hook plate group. The Constant-Murley shoulder function score was higher than that in the hook plate group 6 months after the operation. The abduction and lifting activity was greater than that in the hook plate group. The visual analogue scale scores at 3 days and 14 days after operation were lower than those in the hook plate group. The difference was statistically significant (p < 0.001). There was 1 case (5.3%) of exudation around the Kirschner needle track in the allogeneic tendon reconstruction group, and 5 cases (20.8%) of complications in the hook plate group, including 1 case of internal fixation stimulation, 2 cases of acromion impingement syndrome, 1 case of acromioclavicular joint osteoarthritis, and 1 case of shoulder joint stiffness. The complication rate of the allogeneic tendon group was lower than that of the hook plate group.ConclusionThe clinical efficacy of allogeneic tendon coracoclavicular ligament reconstruction combined with Kirschner wire fixation in treating acromioclavicular joint dislocation (Rockwood type III-V) is better than hook plate internal fixation. The patients have less early postoperative pain and better recovery of shoulder joint function and shoulder joint mobility.

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Section: Discussionmentioning

confidence: 99%

Efficacy of allogeneic tendon material coracoclavicular ligament reconstruction combined with Kirschner wire and titanium alloy hook plate material fixation in the treatment of acromioclavicular joint dislocation

Du,

Xu,

et al. 2024

Front. Bioeng. Biotechnol.

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“…According to the authors, satisfactory clinical and radiological outcomes are expected by their method, with a low failure rate at short-term follow-up [ 16 ]. Finally, in 2023, Pérez Rodríguez et al proposed reconstruction of the acromioclavicular joint using a double augmentation with hamstring tendon and dermal allografts, providing the use of biological supplements in order to replicate the anatomy and functionality of the native ligaments that stabilize the acromioclavicular joint [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Double Fixation Technique for Acute Acromioclavicular Joint Dislocation Using the Two-Button Technique and Gracilis Autograft Reinforcement: A Case Report of an Elite Athlete Seeking a Rapid Return to Sports Activity

Stefanou,

Koskiniotis,

Konstantinou

et al. 2024

Cureus

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Acromioclavicular joint dislocation is a relatively common injury in the general population, especially in younger ages. Although acromioclavicular injuries are a well-studied topic, there are many controversies concerning not only the best way to treat them by operative or conservative methods but also determining the most effective fixation methods, providing better functional outcomes, faster rehabilitation protocols, fewer complications, and lower recurrence rates. In this case report, we present a case of type III acromioclavicular dislocation in a young athlete who was treated operatively using a double fixation technique, aiming to address these controversies and offer insights into the optimal management of such injuries.

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Comparison of clinical efficacy between reconstruction of the superior acromioclavicular ligament with acellular dermal allografts and clavicular hook plate in acromioclavicular dislocations

Kim,

Park,

Jeon

et al. 2024

Injury

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Reconstruction of the Acromioclavicular Joint Using a Double Augmentation With Hamstrings Tendon and Dermal Graft

Cited by 3 publications

References 12 publications

Efficacy of allogeneic tendon material coracoclavicular ligament reconstruction combined with Kirschner wire and titanium alloy hook plate material fixation in the treatment of acromioclavicular joint dislocation

Efficacy of allogeneic tendon material coracoclavicular ligament reconstruction combined with Kirschner wire and titanium alloy hook plate material fixation in the treatment of acromioclavicular joint dislocation

Double Fixation Technique for Acute Acromioclavicular Joint Dislocation Using the Two-Button Technique and Gracilis Autograft Reinforcement: A Case Report of an Elite Athlete Seeking a Rapid Return to Sports Activity

Comparison of clinical efficacy between reconstruction of the superior acromioclavicular ligament with acellular dermal allografts and clavicular hook plate in acromioclavicular dislocations

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