Stabilisation for the Disrupted Acromioclavicular Joint Using a Braided Polyester Prosthetic Ligament

Wright, Jonathan; Osarumwense, Donald; Ismail, Fikry; Umebuani, Yvonne; Orakwe, Samuel

doi:10.1177/230949901502300223

Cited by 15 publications

(22 citation statements)

References 27 publications

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“…Rest all 25 patients returned to their pre-injury level of function at a mean of 6 months. The mean Oxford Shoulder Score and results in our study are similar or even better to the recent newer techniques [34,35] . Moreover surgical management of ACJ dislocation using modified Weaver-Dunn procedure does not require costly and sophisticated instruments and can be done easily in any basic surgical setup even in rural area with limited availability of resources.…”

Section: Discussionsupporting

confidence: 82%

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

Kriplani¹,

Parikh²,

Kulkarni³

et al. 2020

Int. J. Orthop. Sci.

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Background: The ideal surgical management for Acromioclavicular joint dislocation (ACJ) is debatable and is unsolved as newer and more sophisticated techniques are being continuously evolved. The present study evaluates the functional outcome of ACJ reconstruction using the modified Weaver-Dunn procedure in rural setup where availability of latest implant is difficult. Materials and Methods: 30 patients (20 males, 10 females) with ACJ dislocation, between the age group of 18 years to 48 years (mean age 30 years), were operated using modified Weaver-Dunn procedure at our institute from JUNE 2017 to DECEMBER 2019. The dominant side was involved in 25 patients (17 right side, 8 left side). The mean period from the time of injury to the surgery was 8 days (range 3 to 16 days). All the patients were assessed with Oxford Shoulder Score (OSS) and time required to complete functional return to their work was assessed. Results: At the mean follow up of 6 months, the mean Oxford Shoulder Score improved from 23.36 (± 5.56) to 44.0 (± 4.1), 25 out of 30 patients had satisfactory results, while 5 out of 30 patients had mild shoulder dysfunction using Oxford Shoulder scoring system. Of these 5 patients who had mild shoulder dysfunction, 2 developed ossification around the coracoclavicular ligament and 1 patient had intermittent mild pain without any functional disability, 1 patient had a moderate stiffness at shoulder joint movements, and 1 patient had postoperative superficial infection. Conclusion: ACJ reconstruction using the modified Weaver-Dunn procedure in ACJ dislocation in rural setup is a good method and provides a good functional outcome without the use of latest sophisticated implants and instruments.

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Section: Discussionsupporting

confidence: 82%

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

Kriplani¹,

Parikh²,

Kulkarni³

et al. 2020

Int. J. Orthop. Sci.

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“…Wright et al reported high satisfaction rates (20/ 21). 37 Mean abduction power of operated site was 82% of the normal. There was no infection, clavicular or coracoid fracture and none of the patient required implant removal.…”

Section: Surgilig™ Reconstructionmentioning

confidence: 89%

Current concepts in management of ACJ injuries

Phadke

Bakti

Bawale

et al. 2019

Journal of Clinical Orthopaedics and Trauma

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Acromioclavicular joint injury is common in young individuals who suffer direct trauma to the shoulder. Treatment of acromioclavicular dislocation is controversial with regards to the indication of operative management, timing of surgery, whether to perform open or arthroscopic surgery, method of stabilisation (rigid or non-rigid) and type of graft used for repair or reconstruction. Current evidence supports conservative management for Rockwood types I and II, while types IV, V and VI benefit from surgery. The optimal management of type III injuries in high demand patients remains contentious. Surgical options include acromioclavicular fixation, coracoclavicular fixation and coracoclavicular ligament reconstruction. Few studies with a low level of evidence suggest arthroscopic techniques and anatomical ligament reconstruction have better outcomes when compared to older techniques of rigid coracoclavicular fixation. The aim of this article is to look at the current evidence and address these controversial issues.

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“…This can be performed as an isolated procedure, or as part of a more complex procedure for treatment of AC joint injuries. Distal clavicle excision generally results in good to excellent outcomes and has been used in several studies as an additional procedure for the reduction of the dislocated clavicle [ 26 , 49 ], but no definite conclusions can be drawn regarding the role distal clavicle excision might play in AC joint stabilization postoperatively.…”

Section: Discussionmentioning

confidence: 99%

The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results

Romano

Casillo²,

Simone³

et al. 2020

JCM

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Background: the choice of treatment of chronic grade III acromioclavicular (AC) joint dislocation is controversial. Several surgical techniques have been described in the literature, responding differently to nonoperative treatment. The aim of this study is to describe a modified technique of stabilizing an AC joint dislocation with the new Infinity-Lock Button System, in order to demonstrate that it is effective in optimizing outcomes and decreasing complications. Methods: this is a retrospective study of 15 patients who underwent surgical stabilization of the AC joint dislocation between 2018 and 2019, through modified surgical technique using the Infinity-Lock Button System. Active range of motion (ROM), Specific Acromio Clavicular Score (SACS) and Constant Score (CS) were evaluated preoperatively and postoperatively at last 18 months follow up. Patients rated their outcomes as very good, good, satisfactory, or unsatisfactory. Results: a total of twelve patients rated their outcome as very good and three as good; no patients were dissatisfied with surgery. The mean Constant Score increased from 38 points preoperatively to 95 postoperatively, the average SACS score decreased from 52 points preoperatively to 10 postoperatively, both significantly. No complications were detected. Conclusion: the described technique is effective for treatment of chronic grade III AC joint dislocation, resulting in elevated satisfaction ratings and predictable outcomes. Nevertheless, further longer term follow-up studies are required.

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Stabilisation for the Disrupted Acromioclavicular Joint Using a Braided Polyester Prosthetic Ligament

Cited by 15 publications

References 27 publications

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

A study on functional outcome of modified weaver-dunn procedure for acromioclavicular joint dislocation in rural setup

Current concepts in management of ACJ injuries

The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results

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