Carbon Fiber Replacement of the Ligaments of the Shoulder Girdle and the Treatment of Lateral Instability of the Ankle Joint

Burri, C.; Neugebauer, R

doi:10.1097/00003086-198506000-00016

Cited by 30 publications

(22 citation statements)

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“…Recent data show that posttraumatic arthritis develops more frequently by using transarticular fixation techniques [23,26]. Some authors propose using several synthetic materials for this purpose to avoid the application of a metallic fixation and its subsequent removal [5,13,19,28], but it is known that bone erosion or clavicular amputation can take place [14]. The coracoclavicular screw technique is a widely accepted and proven method which gives a good stability and therefore results in accelerated rehabilitation [3,12,18,24].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors advocate use of the coracoacromial ligament [6,7,12,15,16,20,21,23,24,28,29], the long [25] or short [1,9] head of the biceps tendon, or the autogenous fascia lata [13]. Others use synthetic materials such as Dacron [14], polytetrafluoroethylene (Gore-Tex) [19], polydioxanone sulfate [13], or carbon fibers [5] to maintain reduction. Of the many operations that have been recommended for this purpose, the most rational appears to be the reconstruction of the ruptured ligament by using the coracoacromial ligament as proposed by Weaver and Dunn [28], Copeland and Kessel [7], and Rockwood [24].…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Pavlik

Csépai

Hidas

2001

Knee Surg Sports Traumatol Art

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We present our technique for surgically treating Tossy III acromioclavicular joint dislocation, discuss the indications for various procedures, and evaluate our postoperative results. We operated on 17 patients suffering from chronic acromioclavicular instability after such dislocation using a modified Weaver-Dunn procedure, in which there is no lateral clavicular end resection, the coracoacromial ligament graft is sutured to the inferior part of the clavicle by transosseal sutures, and a Bosworth coracoclavicular screw is used to protect the graft postoperatively for 8 weeks. After a mean of 37 months we evaluated shoulder function by the Constant score and the subjective and radiological results. Mean Constant score was 91.9% (74-100%); it was 80-90% in 5 patients and above 90% in 11. One patient had screw loosing after the operation and suffered partial loss of reduction and discomfort during shoulder loading. All patients but one returned to work, and all but one have returned to their preoperative activity at the same level. Subjectively, there were 11 excellent and 6 good results. Compared to the contralateral uninjured side, radiography showed anatomical reposition in the vertical plane in 9 cases, slight loss of reduction in 6 (difference in the distance between the inferior border of the acromion and the clavicle is 2-4 mm), and partial loss of reduction in 2 (4-8 mm). We recommend the modified Weaver-Dunn procedure for surgical treatment of chronic, Tossy grade III acromioclavicular joint dislocations as it provides good functional and subjective results. Our modification is indicated mainly for young patients because posttraumatic arthrosis occurs more frequently in elderly patients, making clavicular end resection necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Pavlik

Csépai

Hidas

2001

Knee Surg Sports Traumatol Art

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“…These include ligamentoplasty procedures, 12,40,50 muscle transfers, 2,4,18,20,31,49 and ligament reconstruction with autologous, allogeneic, or synthetic materials. 1,5,10,11,13,19,21,25,27,30,35,36,41,44,45,48,52 Ligamentoplasty is the transfer of a portion of an existing ligament, most commonly the coracoacromial (CA) ligament. This was first performed by Cadenat in 1917 when he transferred the posterior portion of the CA ligament from the acromion onto the clavicle to mimic the CC ligaments.…”

Section: Historymentioning

confidence: 99%

The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications

Carofino

Mazzocca

2010

Journal of Shoulder and Elbow Surgery

212

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“…Fullerton et al reported the failure of Dacron grafts in ACJ stabilization long ago [8]. Various other suture materials, including PDS (Ethicon Inc., Somerville, NJ, USA) [9], Merselene (Ethicon Inc.) [10] and carbon fibres [11], have been used to stabilize the ACJ, although they suffer from an increased risk of bone erosion and subsequent failure as a result of a small contact surface area with the bone and resulting high stress. There have also been reports of foreign body reactions using other materials, such as PDS (Ethicon Inc.) [12] and Gore Tex graft (Gore, Flagstaff, AZ, USA) [13].…”

Section: Discussionmentioning

confidence: 99%

Bone Osteolysis Following Acromioclavicular Joint Reconstruction Using Synthetic Ligament (Surgilig™)

2014

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Good short term results have led to increased use of synthetic ligaments for acute and chronic acromioclavicular joint (ACJ) disruption. They have proved quite safe in the short term but we present two cases of osteolysis following ACJ reconstruction using a synthetic ligament, reminding surgeons of potential complications with artificial ligaments. A high index of suspicion is needed to diagnose such complications early before irretrievable bone loss to osteolysis. INTRODUCTIONThe Nottingham Surgilig™ (Surgicraft, Redditch, UK) was introduced in 2001 as a means of addressing failed acromioclavicular joint (ACJ) surgery [1]. The ligament comprises a braided synthetic polyester ligament with loops on both ends to reconstruct the disrupted coracoclavicular ligaments. The technique involves looping the ligament around the coracoid and securing to the distal clavicle with a screw, thus providing strong fixation. Its use has increased over last 5 years and, although originally intended for failed ACJ reconstructions, it is increasingly being used as primary method of stabilization [2,3] in Rockwood type III-V injuries [4].Potential complications reported so far include coracoid fracture [1] and skin irritation from the retaining screw, necessitating removal [2]. A recent case report [5] described distal clavicle osteolysis following primary fixation of a Rockwood type III injury using Surgilig. This mode of failure presents challenge for the salvage as a result of the bone loss involved, and can be particularly difficult if it leads to significant erosion of the coracoid process. We report two cases of osteolysis in our practice, one of which involved the coracoid process, following fixation with Surgilig.

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Carbon Fiber Replacement of the Ligaments of the Shoulder Girdle and the Treatment of Lateral Instability of the Ankle Joint

Cited by 30 publications

References 0 publications

Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications

Bone Osteolysis Following Acromioclavicular Joint Reconstruction Using Synthetic Ligament (Surgilig™)

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