Semitendinosus Tendon Graft versus a Modified Weaver-Dunn Procedure for Acromioclavicular Joint Reconstruction in Chronic Cases

Tauber, Mark; Gordon, Katharina; Koller, Heiko; Fox, Michael; Resch, Herbert

doi:10.1177/0363546508323255

Cited by 201 publications

(212 citation statements)

References 40 publications

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“…Contour of the shoulder was maintained and patient was satisfied and pain free joint subluxation and dislocation can be minimized, decreasing the incidence of postoperative pain secondary to residual anterior-posterior instability and compromised clinical outcomes that have been observed with the modified WeaverDunn procedure [25]. Tauber et al reported their experience revising failed Weaver-Dunn procedure with anatomic AC reconstruction with semitendinosus autograft [26]. Significant reduction in pain, improvement in functional scores, and improved radiographic parameters were achieved in their series of revision AC reconstruction cases.…”

Section: Complications From Operative Treatment Of Acromioclavicular mentioning

confidence: 98%

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Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Smith

et al. 2015

Curr Rev Musculoskelet Med

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Complications of the acromioclavicular joint injuries can occur as a result of the injury itself, conservative management, or surgical treatment. Fortunately, the majority of acromioclavicular surgeries utilizing modern techniques and instrumentation result in successful outcomes. However, clinical failures do occur with frequency. The ability to identify the causative factor of failures makes revision surgery more likely to be successful. The purposes of this review are to highlight common problems that can occur following acromioclavicular joint surgery and discuss techniques that can be utilized in revision surgery.

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Section: Complications From Operative Treatment Of Acromioclavicular mentioning

confidence: 98%

“…Studies in the literature that directly compare anatomic and nonanatomic techniques show improved results with the anatomic technique [26,47]. Because of the reconstruction technique, repair can be performed in a subacute fashion.…”

Section: Authors' Preferred Treatmentmentioning

confidence: 99%

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Smith

et al. 2015

Curr Rev Musculoskelet Med

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“…However, studies using graft augmentation have shown to provide superior stability than the modified Weaver-Dunn procedure. 13 In addition, Mazzocca et al 12 described an anatomic graft reconstruction of the conoid and trapezoid ligaments with almost equal biomechanical conditions compared with the native joint.…”

Section: Discussionmentioning

confidence: 99%

“…8,10,11 Laboratory studies showed that anatomic reconstruction with double graft tendons showed native-like biomechanical properties 12 and clinical data showed promising results. 9,13 With the progress of arthroscopic techniques, arthroscopically assisted techniques for graft reconstruction of the AC joint have been described. 10,14 For chronic cases usually open or arthroscopically assisted procedures for graft augmentation have been proposed.…”

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confidence: 99%

Arthroscopically Assisted Acromioclavicular and Coracoclavicular Ligament Reconstruction for Chronic Acromioclavicular Joint Instability

Martetschläger

Tauber

Habermeyer³

et al. 2016

Arthroscopy Techniques

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Acromioclavicular (AC) joint injuries are common injuries, especially in the young and active, male population. AC joint injuries account for 12% of all injuries of the shoulder girdle in the overall population. Although conservative treatment is recommended for Rockwood type I and type II injuries, there is controversial debate about optimal treatment for type III injuries. High-grade injuries are typically treated operatively to avoid painful sequelae. A vast number of different surgical methods have been described over the past few decades. Recent advances in arthroscopic surgery have enabled the shoulder surgeon to treat acute and chronic AC lesions arthroscopically assisted. Clinical studies have already shown good and reliable results. Although surgeons agree that a biological augmentation is required to minimize the risk of recurrent instability in chronic cases, a gold standard still needs to be defined. We present an arthroscopically assisted biological augmentation technique to reconstruct the AC and coracoclavicular ligaments, protected by a button-suture tape construct for chronic AC joint instability. The presented arthroscopic biological augmentation technique uses less and/or smaller drill holes in the clavicle and coracoid than previously described, thus reducing weakening of the bony structures. At the same time it enhances both horizontal and vertical stability.

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“…Some of these techniques are based on the Weaver-Dunn technique or its modifications. [1][2][3] A number of arthroscopic reconstructions using hamstring graft have been described. 4,5 Our arthroscopic technique is anatomically accurate because it uses a double-bundle coracoclavicular ligament reconstruction with a semitendinosus autograft.…”

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confidence: 99%

All-Arthroscopic Double-Bundle Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Graft: A New Technique

Ranne

Sarimo

Rawlins

et al. 2012

Arthroscopy Techniques

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We present our novel arthroscopic anatomic double-bundle coracoclavicular ligament reconstruction technique using a semitendinosus tendon autograft. The dorsal limb of the graft is positioned around the dorsal edge of the clavicle, re-creating the conoid ligament. The anterior limb proceeds superiorly and re-creates the trapezoid ligament. The solution effectively stabilizes the acromioclavicular joint and prevents anterior posterior translation. This new arthroscopic doublebundle coracoclavicular joint reconstruction is an effective and reliable method in stabilizing the clavicle and neutralizing the anterior-posterior translation, and we find it to be technically practical for the surgeon.

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Semitendinosus Tendon Graft versus a Modified Weaver-Dunn Procedure for Acromioclavicular Joint Reconstruction in Chronic Cases

Abstract: Semitendinosus tendon graft for coracoclavicular ligament reconstruction resulted in significantly superior clinical and radiologic outcomes compared to the modified Weaver-Dunn procedure.

Cited by 201 publications

References 40 publications

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Arthroscopically Assisted Acromioclavicular and Coracoclavicular Ligament Reconstruction for Chronic Acromioclavicular Joint Instability

All-Arthroscopic Double-Bundle Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Graft: A New Technique

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