Sports activity after anatomic acromioclavicular joint stabilisation with flip-button technique

Porschke, Felix; Schnetzke, Marc; Aytaç, Sâra; Studier-Fischer, Stefan; Gruetzner, Paul Alfred; Guehring, Thorsten

doi:10.1007/s00167-016-4287-7

Cited by 25 publications

(23 citation statements)

References 54 publications

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“…The level of sports did not differ (67% vs 65%). In Rockwood type V, overhead athletes require more time to resume their sports activity[ 69 ]. In minimally invasive anatomic CC reconstructions of type III AC dislocation, 100% return to sports rates has been reported; however, the influence of type of sport was not considered[ 56 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

New insights in the treatment of acromioclavicular separation

Bergen¹,

Bemmel²,

Alta³

et al. 2017

WJO

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A direct force on the superior aspect of the shoulder may cause acromioclavicular (AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types I and II are treated nonoperatively, while types IV, V and VI are generally treated operatively. Controversy exists regarding the optimal treatment of type III dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments.

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Section: Discussionmentioning

confidence: 99%

New insights in the treatment of acromioclavicular separation

Bergen¹,

Bemmel²,

Alta³

et al. 2017

WJO

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“…Many surgical methods have been developed over decades and there still exists a problem concerning the optimal operative treatment between internal fixation or reconstruction of CC ligaments, both of which have their pros and cons 6 . For CC ligaments reconstruction, non-absorbable suture, allogenous/autogenous tendons and the flip-button techniques such as Tightrope system (Arthrex Inc, Naples, FL, USA) and Endobutton system (Smith&Nephew Inc, Memphis, TN, USA) have been widely used [7][8][9][10][11] .…”

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confidence: 99%

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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“…Management of the Grade 3 injuries is still debatable, with various studies documenting no difference in results between nonoperative and operative methods. 10 11 12 However, other studies advocate surgical intervention in Grade 3 injuries in sportspersons and high demand professionals. 3 14 17 The patients of Grade 3 injuries in our series ( n = 7) were symptomatic patients who were either sportspersons ( n = 5) or laborers ( n = 2).…”

Section: Discussionmentioning

confidence: 99%

“…In the recent literature, open or arthroscopic fixation of coracoclavicular construct using synthetic loops, flip buttons, tendon autografts or allografts has been advocated but with mixed results. 12 13 14 15 16 These newer techniques have often been compared with modified Weaver-Dunn procedure which has given consistently reproducible and satisfactory results. 14 17 18 19 …”

Section: Introductionmentioning

confidence: 99%

Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation

Gupta

Sood

Malhotra

et al. 2018

IJOO

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Background:The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified Weaver Dunn procedure.Materials and Methods:35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18–48 years (mean age 31 years), were operated using modified Weaver Dunn procedure at our center from May 2005 to June 2010. The dominant side was involved in 25 patients (22 right, 13 left). The mean period from the time of injury to the surgery was 14 days (range 4–26 days). All the patients were assessed with Oxford shoulder score and the time required to return to preinjury level was recorded.Results:At the mean followup of 95 months (range 72–120 months), the mean Oxford Shoulder Score improved from 25 ± 7.2 to 43 ± 6.9. 85% (30 out of 35) patients had satisfactory results, while 15% (5 out of 35) had mild shoulder dysfunction using this scoring system. Five patients had radiological evidence of Grade 2 ACJ subluxation. Out of these five patients, two developed ossification around the coracoclavicular ligament. Three patients had intermittent mild pain without any functional disability, and one had a moderate restriction of shoulder movements.Conclusion:ACJ reconstruction, using the modified Weaver Dunn procedure in ACJ dislocation, is a reproducible procedure and provides a good functional outcome.

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Sports activity after anatomic acromioclavicular joint stabilisation with flip-button technique

Abstract: IV.

Cited by 25 publications

References 54 publications

New insights in the treatment of acromioclavicular separation

New insights in the treatment of acromioclavicular separation

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

Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation

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