Surgical treatment of chronic acromioclavicular dislocations: A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate

Windhamre, Helena A. Boström; Heideken, Johan von; Une-Larsson, Viveka; Ekelund, Anders

doi:10.1016/j.jse.2010.02.006

Cited by 73 publications

(67 citation statements)

References 42 publications

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“…[25][26][27][28] It has been reported that coracoacromial ligament transfer, HP fixation, AC K-wire fixation, and CC screw fixation are biomechanically insufficient. 25) In vivo analysis of AC joint motions after HP fixation indicates that the clavicular motion and AC joint biomechanics change significantly after HP.…”

Section: Discussionmentioning

confidence: 99%

“…The results of our study agree with those published by Andreani et al, 27) who found that patients treated using the TR technique had a mean Constant score of 90, while those managed using an HP had a mean Constant score of 75. In addition, Boström Windhamre et al 28) reported that patients managed using HP fixation have significantly more pain than those managed using a CC non-rigid fixation. They argued that this may be because of the presence of chronic irritation in the subacromial space, which then leads to a persistent pain syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…They argued that this may be because of the presence of chronic irritation in the subacromial space, which then leads to a persistent pain syndrome. 28) We considered the following reasons as contributors to the inferior functional outcomes. A portion of the hook may enter the posterior aspect of the AC ligaments, which may then compromise the proper healing of these structures.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Lee¹,

Kim²,

Kook³

2017

Clinics in Shoulder and Elbow

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Background: This study was conducted to compare the clinical and radiological outcomes of the locking hook plate fixation (HP) technique and the single tight rope (TR) technique applied for acute high-grade acromioclavicular (AC) joint separations. Methods: Between 2009 and 2014, 135 consecutive patients with acute AC joint separation Rockwood types III, IV, and V were subjected to surgical reconstruction. One hundred fourteen patients (84.4%) were available for retrospective evaluation. Of them, 62 and 52 were treated using the single TR group and clavicular HP group techniques, respectively. The visual analogue scale, Constant, American Shoulder and Elbow Surgeons (ASES), and Taft scores were used for clinical assessment. Postoperative shoulder range of motion was also assessed. An anteroposterior radiograph of the coracoclavicular distance (CCD) was obtained to evaluate the radiographic signs of recurrence. Results: The TR group patients had better Constant, ASES, and Taft scores than the HP group patients. The loss of reduction in terms of the CCD did not differ between groups. Subacromial osteolysis was observed in 34.6% of the cases in the HP group. However, there were no significant differences in the clinical outcomes between the patients with and without osteolysis in the HP group. Subcoracoid osteolysis, drill tunnel widening, and metal displacement were observed in 3.2%, 22.6%, and 4.8% of the cases in the TR group, respectively. Conclusions: The single TR technique was relatively more effective at treating acute high-grade AC joint injuries than the HP fixation technique (level of evidence: therapeutic; retrospective comparative study, Level III). (Clin Shoulder Elbow 2017;20(3):153-161)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Lee¹,

Kim²,

Kook³

2017

Clinics in Shoulder and Elbow

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“…The absence of further retraction underscores the excellent structural support obtained by the PDS. For many years, this versatile material has shown its worth as a substitute for cartilage or bone grafting during orbital floor reconstruction and rhinoplasty/septoplasty procedures [14,15,19], primarily due to its histoconductive properties [11,20], which stimulate bone or cartilage regeneration. Animal studies have demonstrated that thin PDS plates are reabsorbed within 25 weeks [11], which give enough healing time at the dome junction while the PDS plate acts as a template for new cartilage formation, preventing undesirable secondary deviations.…”

Section: Discussionmentioning

confidence: 99%

A Technique to Correct Severe Lateral Crural Concavity: Adjunctive Use of a Polydioxanone Plate During Lateral Crural Reverse Plasty

Moina

Rancati

2014

Aesth Plast Surg

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“…Plain radiographs are thought to be less accurate while evaluating the degree of subluxation especially RW type IV injury [4]. There is also an inverse correlation found between the craniocaudal dislocation and Constant score while analysing the AC joint dislocation by 3D-CT scan [2].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic acromioclavicular joint reconstruction using a synthetic ligament device

Kany¹,

Amaravathi

Guinand³

et al. 2011

Eur J Orthop Surg Traumatol

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Purpose To describe an all-arthroscopic treatment of acromioclavicular joint (ACJ) dislocation and report the clinical results of the procedure. Methods This study consisted of 54 patients of whom 49 were men and 5 were women. The age of the patients averaged 39 years (range 16-69 years). All the symptomatic acute and chronic acromioclavicular joint dislocations classified according to Rockwood type III-IV were included in the study. All of them underwent standard clinical and radiological examination. Result All the patients were regularly followed up at the institute with the average follow-up being 15.09 months (range 5-30 months). The results were assessed using the shoulder subjective value (SSV) and the Modified rating of the University of California Los Angeles (UCLA) for acromioclavicular joint. The mean pre-operative SSV improved from 35.65 to the post-operative value of 88.6. According to the UCLA scale, 40 excellent, 8 good, 4 fair and 2 poor results were achieved. There were few problems encountered with the procedure like failure of ligament, incomplete reduction, capsulitis, and migration of sleeve and fracture clavicle.Conclusion ACJ dislocations can effectively be treated with arthroscopy-assisted procedure. Since this procedure has given uniformly good to excellent results comparable to open reconstructive procedures, it can be a good treatment option for symptomatic ACJ dislocations. Level of evidence IV, therapeutic series.

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Surgical treatment of chronic acromioclavicular dislocations: A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate

Cited by 73 publications

References 42 publications

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

A Technique to Correct Severe Lateral Crural Concavity: Adjunctive Use of a Polydioxanone Plate During Lateral Crural Reverse Plasty

Arthroscopic acromioclavicular joint reconstruction using a synthetic ligament device

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