A comparison between two double-button endoscopically assisted surgical techniques for the treatment acute acromioclavicular dislocations

Vulliet, P.; Hanneur, Malo Le; Cladière, Victoire; Loriaut, P.; Boyer, Patrick

doi:10.1007/s12306-017-0501-0

Cited by 17 publications

(28 citation statements)

References 26 publications

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“…In our series, we observed a significant loss of reduction in over 20% of our patients during follow-up, but only a trend towards poorer results. These findings correspond to current literature where similar rates of clinically silent reduction loss could be shown [17,45,47]. During follow-up, a greater CC distance was observed in patients operated on more than 10 days after trauma, negatively influencing the Constant and UCLA scores.…”

Section: Discussionsupporting

confidence: 91%

Minimally Invasive AC Joint Reconstruction System (MINAR®) in Modified Triple-Button Technique for the Treatment of Acute AC Joint Dislocation

Breuer

Unterrainer

Komjati³

et al. 2019

JCM

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Acute acromioclavicular (AC) joint dislocation is a frequent sports injury with more than 100 different operation methods described. A total of 65 patients with an acute AC joint dislocation were treated with the modified MINAR® system between 2009 and 2013. Clinical outcome, horizontal and vertical instability, as well as concomitant intraarticular injuries were assessed. We used Zanca, stress and axial X-rays for radiological assessment. A Constant score of 95 (±8.8), University of California Los Angeles Shoulder score (UCLA) of 31 (±4.9), Disabilities of Arm, Shoulder and Hand (DASH) of 9.1 (±14.3), and Visual Analogue Scale (VAS) of 0.9 (±0.126) was found. A total of 30 patients (59%) had no signs of reduction loss, nine patients (18%) a slight loss, 11 patients (22%) a partial loss, and one patient (2%) a total loss. No significant influence on the clinical scores could be shown. The postoperative coracoclavicular (CC) distance negatively affected the Constant (p = 0.007) and UCLA scores (p = 0.035). A longer time interval to surgery had a negative influence on all scores (p ≤ 0.001). We could not find any signs of persistent horizontal instability or intraarticular injuries at follow-up. The MINAR® system promises satisfactory functional and radiological results. When setting the correct indication, patients benefit from an early operation. No persisting horizontal instability was observed following suturing of the AC capsule and the delta fascia.

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Section: Discussionsupporting

confidence: 91%

Minimally Invasive AC Joint Reconstruction System (MINAR®) in Modified Triple-Button Technique for the Treatment of Acute AC Joint Dislocation

Breuer

Unterrainer

Komjati³

et al. 2019

JCM

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“…The Dog Bone offers a larger contact area than the TightRope (Arthrex) and smaller CC tunnels, less risk of fracture, and a lower incidence of cortical osteolysis, as well as implant migration, and therefore might lead to a lower incidence of postoperative loss of reduction. In addition, the tape (braided composite polyethylene and polyester sutures) provides a larger cross-sectional area than FiberWire (Arthrex) and greater ultimate load to failure 11 …”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Coracoclavicular and Acromioclavicular Stabilization of Acute Acromioclavicular Joint Dislocation By Suspensory Fixation System

Martetschläger

Tauber

Habermeyer³

et al. 2019

Arthroscopy Techniques

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Arthroscopic stabilization of acute acromioclavicular joint dislocations using coracoclavicular suspension techniques has become more popular, but lack of horizontal stability is a major concern that furthermore affects the final outcome. We present an arthroscopic technique to stabilize acute acromioclavicular joint dislocations in both the vertical and horizontal planes, with better results than conventional coracoclavicular suspension techniques.

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“…Vulliet et al. 5 retrospectively compared the use of TightRope versus Dog Bone (Arthrex) in 40 patients at 1 year of follow-up. Functional results were similar between both groups, however, loss of reduction (displacement ≥ 5 mm) was higher in the Dog Bone group (55% vs 22%; P < .0001).…”

Section: Discussionmentioning

confidence: 99%

“…Functional results were similar between both groups, however, loss of reduction (displacement ≥ 5 mm) was higher in the Dog Bone group (55% vs 22%; P < .0001). 5 Zhang et al. 7 reviewed the clinical and radiological results of 24 patients treated only with TightRope; 25% presented radiological failure associated with worse functional results at 2 years of follow-up, suggesting that it still needs to be modified.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple implants have been developed with the aim of maintaining reduction and fixation to allow coracoclavicular (CC) and AC ligaments to heal within their physiological term. 5 , 6 , 7 However, these constructs still present complications such as loss of reduction of up to 26.8% and residual pain between 25% and 39%, making a case for active research into strong and stable constructs. 4 …”

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confidence: 99%

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Arthroscopic Acromioclavicular Joint Reconstruction With TightRope and FiberTape Loop

Marsalli

Moran

Laso

2018

Arthroscopy Techniques

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High-grade acromioclavicular (AC) injuries are frequent in the active population, and their treatment in the acute setting has reduced sequelae such as chronic pain, functional impairment, and inability to return to sports. Multiple techniques have been described to achieve reduction and fixation of the AC joint, but still there is no consensus. The objective of this Technical Note is to describe the reduction and internal fixation under arthroscopic assistance of the AC joint with the use of a double button implant plus high-strength tape in the acute setting.

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A comparison between two double-button endoscopically assisted surgical techniques for the treatment acute acromioclavicular dislocations

Abstract: IV: Therapeutic study-cases series.

Cited by 17 publications

References 26 publications

Minimally Invasive AC Joint Reconstruction System (MINAR®) in Modified Triple-Button Technique for the Treatment of Acute AC Joint Dislocation

Minimally Invasive AC Joint Reconstruction System (MINAR®) in Modified Triple-Button Technique for the Treatment of Acute AC Joint Dislocation

Arthroscopic Coracoclavicular and Acromioclavicular Stabilization of Acute Acromioclavicular Joint Dislocation By Suspensory Fixation System

Arthroscopic Acromioclavicular Joint Reconstruction With TightRope and FiberTape Loop

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