Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Wei, Haifeng; Chen, Yunfeng; Zeng, Bingfang; Zhang, Changqing; Chai, Yimin; Wang, Haiming; Lu, Ye

doi:10.1007/s00264-010-1057-x

Cited by 51 publications

(42 citation statements)

References 23 publications

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“…11,16 Because use of the native coracoacromial ligament for surgical reconstruction leads to a weaker, more pliable construct that results in a high failure rate, other techniques have gained favor. 13,16,17 One modification of the Weaver-Dunn technique involves augmenting the stabilization with a suture loop around the base of the coracoid up to the clavicle. 11 Techniques for accomplishing this type of Weaver-Dunn procedure have also since been performed arthroscopically.…”

Section: Discussionmentioning

confidence: 99%

Postoperative coracoid fracture after transcoracoid acromioclavicular joint reconstruction

Gerhardt

VanDerWerf

Rylander

et al. 2011

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Postoperative coracoid fracture after transcoracoid acromioclavicular joint reconstruction

Gerhardt

VanDerWerf

Rylander

et al. 2011

Journal of Shoulder and Elbow Surgery

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“…To reconstruct the coracoclavicular ligaments, Yoo et al 15 used the semitendinosus tendon, Sloan et al 16 used the lateral half slip of the conjoined tendon, Lädermann et al 17 and Marchie et al 18 used suture threads, and Wei et al 19 and Salzmann et al 20 used an artificial ligament. However, of these procedures, only the method using an artificial ligament achieved reconstruction of the anatomical coracoclavicular ligaments.…”

Section: Discussionmentioning

confidence: 99%

Changes in Surgical Procedures for Acromioclavicular Joint Dislocation Over the Past 30 Years

Takase¹,

Yamamoto²

2013

Orthopedics

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Generally, surgical treatment is recommended for Rockwood type 5 traumatic acromioclavicular joint dislocations. Since 1980, the authors have performed the modified Dewar procedure, the modified Cadenat procedure, and anatomical reconstruction of the coracoclavicular ligaments for this injury. The goal of this study was to determine the ideal surgical procedure for acromioclavicular joint dislocations by comparing these 3 procedures. The modified Dewar procedure was performed on 55 patients (Dewar group), the modified Cadenat procedure was performed on 73 patients (Cadenat group), and anatomical reconstruction of the coracoclavicular ligaments was performed on 11 patients (reconstruction group). According to the UCLA scoring system, therapeutic results averaged 27.3 points in the Dewar group, 28.2 in the Cadenat group, and 28.4 in the reconstruction group. The incidence of residual subluxation or dislocation in the acromioclavicular joint was evaluated at final radiographic follow-up. Subluxation occurred in 21 patients in the Dewar group, 18 in the Cadenat group, and 3 in the reconstruction group. Dislocation occurred in 3 patients in the Dewar group. Osteoarthritic changes in the acromioclavicular joint occurred in 20 patients in the Dewar group, 9 in the Cadenat group, and 1 in the reconstruction group. The modified Cadenat procedure can provide satisfactory therapeutic results and avoid postoperative failure or loss of reduction compared with the modified Dewar procedure. However, the modified Cadenat procedure does not anatomically restore the coracoclavicular ligaments. Anatomic restoration of both coracoclavicular ligaments can best restore acromioclavicular joint function.

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“…. There was a significant difference between the preoperative and postoperative pain visual analog scale scores [22].…”

Section: Discussionmentioning

confidence: 99%

Endobutton technique for the treatment of acute acromioclavicular joint dislocations

Özden¹

2014

Diclemedj

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ÖZETAmaç: Akromioklaviküler eklem çıkıkları daha çok genç atletlerde sık görülen bir yaralanmadır. Bu çalışmanın amacı endobutton sistemi ile tespit edilmiş akut akromioklaviküler eklem çıkıklarının postoperatif fonksiyonel sonuçlarını değerlendirmektir.Yöntemler: Bu tespit yöntemi 10 hastaya uygulandı. Rockwood sınıflamasına göre yedi has-tada tip V, üç hastada tip III çıkık vardı. Korakoklaviküler aralık ve akromioklaviküler eklem iki endobutton kullanılarak redükte edildi. Bir endobutton klavikulanın üzerine ikincisi korakoid çı-kıntının altına yerleştirildi. Sonuçlar Constant omuz skoru ve vizüel analog skala ile değerlendirildi. Bulgular:Tüm hastaların intraoperatif olarak fiksasyonunun sağlam olduğu görüldü. Ameliyattan hemen sonra, 6. haftada ve 1 yıl sonra çekilen grafilerde, korakoklaviküler aralık ve akromioklaviküler eklemin yeterli derecede redükte olduğu tespit edildi. Ortalama Constant omuz skoru ameliyatlı omuzda 89 (88-92), sağlam omuzda ise 90 (88-93) olarak bulundu. Constant omuz skoru ile değer-lendirildiğinde akromioklaviküler çıkık olan taraf ile normal taraf arasında anlamlı istatiksel fark bulunamadı ve herhangi bir komplikasyonla karşılaşılmadı. Methods:This fixation procedure has been applied on 10 patients. Indications of the technique included: a grade V AC joint dislocation (7 patients), and grade III AC joint dislocation (3 patient) according to Rockwood classification. The coracoclavicular (CC) interval and AC joint were reduced using two endobuttons. One endobutton was fitted on the clavicle and the second was placed at the undersurface of the coracoid. Outcomes were assessed with the Constant shoulder score and visual analog pain scale.Results: All the patients had powerful intraoperative fixation. Immediately after surgery, and 6 weeks, and 1 year postoperative radiographs showed adequate reduction of the CC distance and the AC joint. The mean Constant shoulder score was 89 (88-92) in the injured shoulder and 90 (88-93) in the uninjured shoulder. There was no statically significant difference between the injured and normal shoulder in terms of Constant shoulder score and there was no complication during the process. Conclusion:This technique is a safe and effective method for providing fixation for the AC joint.

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Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Cited by 51 publications

References 23 publications

Postoperative coracoid fracture after transcoracoid acromioclavicular joint reconstruction

Postoperative coracoid fracture after transcoracoid acromioclavicular joint reconstruction

Changes in Surgical Procedures for Acromioclavicular Joint Dislocation Over the Past 30 Years

Endobutton technique for the treatment of acute acromioclavicular joint dislocations

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