Does the ZipTightTM effective to maintain reduction after the treatment of acute acromioclavicular joint dislocation?

Abstract

Background: The present study evaluated the functional and radiographic outcomes of acute acromioclavicular (AC) joint reconstruction performed using the mini-open technique and a knotless suspensory loop device Methods: A total of 25 patients (20 male and 5 female patients; mean age, 30.7 years; standard deviation, 10 years; range, 17–57 years) who fulfilled the inclusion criteria were included in the study. A functional assessment was performed using the Constant and University of California Los Angeles score. The radiologic assessment included standard anterior-posterior views of the AC and coracoclavicular (CC) distances. Results: The mean follow-up period was 18.6 months (range, 12–23 months). The mean Constant score was 87.2 ± 3.2, and the mean University of California Los Angeles score was 30.1 ± 2.4 at the final follow-up. Radiological evaluation at the last follow-up of the patients: Although there was no statistically significant increase in the AC and CC values of the patients (Fig. 2 ) at the last follow-up, the average CC value in 6 (24%) of the 25 patients was greater than 50% compared with the unaffected side CC and early postoperative CC values. However, there was no statistically significant difference in the Constant and UCLA scores between the 6 patients with reduction loss and the 19 patients with reduction maintenance ( P = .86). Conclusions: Clinical results of fixation of acute AC joint dislocations using the ZipTight TM knotless suspensory loop device system and mini-open technique were favorable in terms of functional recovery and pain relief. However, the major disadvantage of this method was radiological loss of AC joint reduction when compared to the contralateral shoulder.

Biologic and synthetic ligament reconstructions achieve better functional scores compared to osteosynthesis in the treatment of acute acromioclavicular joint dislocation

“…Of these, 191 were excluded based on their abstract and 47 additional studies were excluded based on the full‐text article. One hundred and thirty‐three [1, 2, 4, 5, 7–10, 12–15, 17–23, 25, 29, 30, 32–41, 43–46, 49–52, 54–61, 64–67, 69–73, 75–82, 86–95, 97–99, 102–109, 111, 113, 117, 118, 120, 122–130, 133, 135, 137–139, 143, 144, 146–156, 158, 160–162, …”

“…One thousand six‐hundred and fifty shoulders suffered from a Rockwood type‐III dislocation, 420 shoulders a type‐IV dislocation, and 1614 shoulders a type‐V dislocation. Patients underwent surgery within 1 week from dislocation in 20 studies [4, 41, 43, 49, 51, 56, 57, 75, 76, 78, 81, 82, 91, 138, 148, 151, 152, 156, 160, 176], 2 weeks in 52 studies [5, 7, 9, 10, 15, 19, 21, 30, 34–36, 44, 46, 58–60, 67, 70, 71, 87–90, 94, 97, 98, 105, 106, 108, 111, 122, 125–127, 129, 135, 139, 144, 147, 149, 153, 155, 158, 161, 162, 165, 166, 170–172, 174, 177], 3 weeks in 31 studies [2…”

“…Double‐button [1, 2, 7, 9, 20, 25, 30, 34, 35, 40, 44–46, 52, 59, 60, 64, 67, 71, 87, 89, 91, 98, 102, 107, 111, 118, 124, 125, 127, 133, 137, 138, 144, 148, 155, 156, 170]…”

“…Loss of reduction was reported on X‐rays in 116 studies [2, 4, 7, 10, 12–15, 17–23, 25, 29, 30, 32–41, 43, 45, 46, 49–52, 54–61, 64–67, 69–73, 75–77, 86–88, 90–92, 94, 95, 97, 98, 102–104, 106–109, 111, 117, 118, 122–130, 133, 135, 137–139, 143, 144, 146–154, 156, 158, 160–162, 165–167, 170–177], computed tomography (CT) was used in one study...…”

The acromioclavicular joint injuries treatment

“…The acromioclavicular (AC) joint is one of the most frequently injured shoulder joints 1 . This injury is a typical result of falling directly onto the superolateral side of the shoulder.…”