Reconstruction of the Acromioclavicular Joint With 360-degree Control

Hoy, Greg; Yalizis, Matthew; Smith, Mitchell; Anderson, Hamish; Warby, Sarah

doi:10.1097/bte.0000000000000167

Cited by 1 publication

(3 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We propose that by separating the divergent clavicular limbs widely, the overall construct strength of the reconstruction will be increased, aiding stability in all planes, including the mediolateral plane. In addition, the smaller-than-usual drill holes 14,15 are likely to reduce risk of drill hole fracture.…”

Section: Discussionmentioning

confidence: 99%

“…After ethical approval was obtained, a retrospective analysis was performed of all consecutive ARF players who had undergone open twin-tailed dog-bone ACJ stabilization 15 by the senior author (G.H.) between September 2013 and April 2017.…”

Section: Methodsmentioning

confidence: 99%

“…Our unique twin-tailed dog-bone technique using Fiber-Tape (by Arthrex, Naples, Florida, USA) has been published previously. 15 All operations were performed with an ultrasound-guided interscalene block and general anesthetic in an upright beach-chair position. A longitudinal superior approach was made in line with the lateral clavicle and ACJ.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Borbas

Warby

Yalizis³

et al. 2022

Orthopaedic Journal of Sports Medicine

Self Cite

View full text Add to dashboard Cite

Background: Acromioclavicular joint (ACJ) injuries are the second most common upper limb injuries in the Australian Football League (AFL); however, there is little evidence on the return-to-sport results after surgical stabilization of the ACJ in this sporting population. Purpose: To investigate the return-to-sport time, on-field performance, and patient-reported outcomes in a series of professional AFL players after undergoing ACJ stabilization. Study Design: Case series; Level of evidence, 4. Methods: We conducted a retrospective case series of all AFL players who had undergone open twin-tailed dog-bone ACJ stabilization by a single surgeon between September 2013 and April 2017. Outcome measures included time to return to sport, on-field performance indicators (handballs, tackles, kicks, and AFL Fantasy and Supercoach scores), the Nottingham Clavicle Score, Oxford Shoulder Score, and the Specific Acromioclavicular Score. Patient-reported outcomes were evaluated at a minimum follow-up of 12 months. Results: Of 13 senior listed AFL players who underwent twin-tailed dog-bone surgery, 9 players were included. Mean follow-up was 24.8 months (range, 5-41 months) postoperatively. Mean return-to-sport time was 8.6 weeks for injuries that occurred within the season. The number of kicks, marks, handballs, and tackles as well as AFL Supercoach and Fantasy scores did not significantly change after surgery ( P > .05). Outcome measures showed a high level of patient satisfaction after surgery, with a mean Nottingham Clavicle Score of 92.2, Oxford Shoulder Score of 47.7, and the Specific Acromioclavicular Score of 7.5. Conclusion: In a collective of professional AFL players with ACJ injury, our twin-tailed dog-bone technique revealed return to competitive play could be achieved at a mean of 8.6 weeks without compromising on-field performance or patient-reported pain, function, and satisfaction.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%