Arthroscopic acromio-clavicular joint stabilization using a TightRope device

Bhingraj, Mahmoud A; Sharma, Vishwadeep; Bedi, Gurinder

doi:10.1016/j.jajs.2019.06.003

Cited by 1 publication

(8 citation statements)

References 18 publications

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“… 18 2 0 0 2 0 1 0 0 5 of 16 Bhingraj et al. 29 2 0 0 2 0 1 0 0 5 of 16 Chaudhary et al. 37 2 0 0 1 0 1 0 0 4 of 16 Chouhan et al.…”

Section: Resultsmentioning

confidence: 99%

“…Postoperative radiographic analysis of the CC distance on calibrated anteroposterior radiographs was performed in 11 studies. 12,18,[27][28][29]33,34,36,39,43,44 The range of reported CC distances in patients undergoing acute reconstruction was 9.2 to 15.7 mm, whereas that in patients undergoing chronic reconstruction was 11.7 to 18.6 mm. These results are summarized in Table 3.…”

Section: Radiographic Analysismentioning

confidence: 97%

“…The rate of return to work, if provided, was also collected. 36 2 0 0 2 0 1 0 0 5o f1 6 Beris et al 18 2 0 0 2 0 1 0 0 5o f1 6 Bhingraj et al 29 2 0 0 2 0 1 0 0 5o f1 6 Chaudhary et al 37 2 0 0 1 0 1 0 0 4o f1 6 Chouhan et al 38 0 0 1 2 0 1 0 0 4o f1 6 Darabos et al 34 2 40 2 ACUTE VERSUS CHRONIC AC JOINT SEPARATIONS e3 Literature Quality Evaluation An orthopaedic surgeon (J.W.A.) and medical student reviewer (B.P.E.)…”

Section: Data Collection and Processingmentioning

confidence: 99%

“…12, Six outcome measures were reported in these 20 studies. The CS was the most common outcome measure reported (17 studies), 12,[18][19][20][21][22][23]25,26,29,31,[33][34][35][36][37][38][39][40][41][42] followed by the Disabilities of the Arm, Shoulder and Hand score (7 studies), 12,18,28,31,32,34,36 visual analog scale score (7 studies), 18,27,29,32,33,36,38 American Shoulder and Elbow Surgeons score (3 studies), [38][39][40] Oxford Shoulder Score (3 studies), 22,32,34 and return to work (2 studies). 29,37 The range of CSs in patients undergoing acute reconstructions was 84.4 to 98.2, whereas patients undergoing chronic reconstructions had a range of 80.8 to 94.1.…”

Section: Clinical and Patient-reported Outcomesmentioning

confidence: 99%

“…Complications were reported in 12 studies. 18,19,21,[27][28][29][31][32][33][34][35][38][39][40][43][44][45][46] The complications reported were all minor, with no major neurovascular complications. Reported complications included infection, wound healing problems, construct failure, loss of reduction, and persistent pain.…”

Section: Complicationsmentioning

confidence: 99%

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Grade III Acromioclavicular Separations Treated With Suspensory Fixation Techniques: A Systematic Review of Level I Through IV Studies

Ruzbarsky

Elrick

Nolte

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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To perform a systematic review comparing clinical outcomes, radiographic outcomes, and complication rates after acute (surgery 6 weeks from injury) versus chronic (surgery >6 weeks from injury) acromioclavicular joint reconstructions for grade III injuries using modern suspensory fixation techniques. Methods: We performed a systematic review of the literature examining acute versus chronic surgical treatment of Rockwood grade III acromioclavicular joint separations using the Cochrane registry, MEDLINE database, and Embase database over the past 10 years according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The inclusion criteria included techniques using suspensory fixation, a minimum study size of 3 patients, a minimum follow-up period of 6 months, human studies, and English-language studies. The methodology of each study was evaluated using the Methodological Index for Non-randomized Studies (MINORS) tool for nonrandomized studies and the revised Cochrane risk-of-bias (RoB 2) tool for randomized controlled trials. Results: The systematic review search yielded 20 studies with a total of 253 patients. There were 2 prospective randomized controlled trials, but most of the included studies were retrospective. On comparison of acute surgery (6 weeks) and chronic surgery (>6 weeks), individual studies reported a range of Constant scores of 84.4 to 98.2 and 80.8 to 94.1, respectively. The ranges of radiographic coracoclavicular distances reported at final follow-up also favored acute reconstructions, which showed improved reduction (9.2-15.7 mm and 11.7-18.6 mm, respectively). The reported complication rates ranged from 7% to 67% for acute reconstructions and from 0% to 30% for chronic reconstructions. Conclusions: The ranges in the Constant score may favor acute reconstructions, but because of the heterogeneity in the surgical techniques in the literature, no definitive recommendations can be made regarding optimal timing. Level of Evidence: Level IV, systematic review of Level I through IV studies.A cromioclavicular joint (ACJ) injuries are very common shoulder injuries, especially in athletes, representing 12% of all shoulder injuries. 1 ACJ dislocations are most commonly classified according to the Rockwood classification. 2 Although there is consensus on conservative therapy in grade I and II injuries and operative treatment in grade IV to VI injuries, there is an ongoing debate regarding the optimal treatment strategy for grade III injuries, which are characterized by superior displacement of the distal clavicle by 1 clavicular diameter (100%) on an anteroposterior radiograph.Over a decade ago, Spencer 3 systematically reviewed grade III acromioclavicular (AC) separations focusing on

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