Early failures with single clavicular transosseous coracoclavicular ligament reconstruction

Cook, Jay B.; Shaha, James S.; Rowles, Douglas J.; Bottoni, Craig R.; Shaha, Steven H.; Tokish, John M.

doi:10.1016/j.jse.2012.01.018

Cited by 84 publications

(94 citation statements)

References 26 publications

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“…Loss of reduction in clinical series ranges between 15 and 80 % [19][20][21][22]. Not all patients are symptomatic, and the decision for revision should be based on patient's symptoms and not on radiographic findings.…”

Section: Complications From Operative Treatment Of Acromioclavicular mentioning

confidence: 99%

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Smith

et al. 2015

Curr Rev Musculoskelet Med

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Complications of the acromioclavicular joint injuries can occur as a result of the injury itself, conservative management, or surgical treatment. Fortunately, the majority of acromioclavicular surgeries utilizing modern techniques and instrumentation result in successful outcomes. However, clinical failures do occur with frequency. The ability to identify the causative factor of failures makes revision surgery more likely to be successful. The purposes of this review are to highlight common problems that can occur following acromioclavicular joint surgery and discuss techniques that can be utilized in revision surgery.

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Section: Complications From Operative Treatment Of Acromioclavicular mentioning

confidence: 99%

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Smith

et al. 2015

Curr Rev Musculoskelet Med

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“…Today, there is a trend towards anatomic reconstruction of the CC ligaments (as opposed to the classic Weaver-Dunn CA ligament transfer) due to recent biomechanical studies which show improved kinematics and much higher ultimate failure loads. While some early outcomes reports appear encouraging, high complication rates have been reported in some series [14,15,[59][60][61]. Anatomic reconstructive techniques, while developed to improve the biomechanics and decrease the risk of loss of reduction, have resulted in a unique set of complications that include migration of the cortical fixation buttons and coracoid and clavicle fractures.…”

Section: Resultsmentioning

confidence: 99%

“…Good to excellent clinical outcomes have been reported, yet complications do occur [14,15,[59][60][61].…”

Section: Outcomes and Complications Of The Modern Anatomic Reconstrucmentioning

confidence: 99%

“…DeBerardino et al [14] showed excellent early clinical results without complications after AC reconstruction using a hybrid device that incorporated a graft with suture fixation (GraftRope system, Arthrex Inc., Naples, FL), although concerns exist regarding coracoid fractures due to the size of the hole that needs to be drilled and the technical aspects of drilling such a hole in the base of the coracoid. Using a similar device, Cook et al [61] found that 80 % of patients lost some degree of reduction and 40 % required revision surgery. In this series, 5 of 10 patients reported fair (1) or poor (4) results.…”

Section: Outcomes and Complications Of The Modern Anatomic Reconstrucmentioning

confidence: 99%

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Acromioclavicular joint separations

Warth

Martetschläger

Gaskill

et al. 2012

Curr Rev Musculoskelet Med

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Acromioclavicular (AC) joint separations are common injuries of the shoulder girdle, especially in the young and active population. Typically the mechanism of this injury is a direct force against the lateral aspect of the adducted shoulder, the magnitude of which affects injury severity. While low-grade injuries are frequently managed successfully using non-surgical measures, high-grade injuries frequently warrant surgical intervention to minimize pain and maximize shoulder function. Factors such as duration of injury and activity level should also be taken into account in an effort to individualize each patient's treatment. A number of surgical techniques have been introduced to manage symptomatic, high-grade injuries. The purpose of this article is to review the important anatomy, biomechanical background, and clinical management of this entity.

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“…Recent reports have questioned the effectiveness of single-tunnel constructs. Cook et al 5 reported an 80% loss of reduction in singletunnel reconstruction using a combination of No. 5 nonabsorbable suture and an incorporated allograft.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Anatomic Coracoclavicular Ligament Repair Using a 6-Strand Polyester Suture Tape and Cortical Button Construct

Min¹,

Rumley

Wilson

et al. 2015

Arthroscopy Techniques

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Acromioclavicular separations are common injuries. Low-grade separations are typically managed with nonoperative treatment. However, surgical treatment is recommended for high-grade separations, as well as for chronic low-grade separations that remain symptomatic. Multiple fixation techniques have been described over the past several decades, including Kirschner wires, hook plates, and coracoclavicular screws. More recently, a single-tunnel suture-graft repair and an anatomic reconstruction reproducing both the conoid and trapezoid ligaments have been described. All described techniques have reported complications, including implant migration, need for implant removal, clavicle or coracoid fracture, and loss of reduction. As a result, there is no single optimal method of operative fixation. We describe our technique for an arthroscopically assisted anatomic coracoclavicular repair using a 6-strand suture tape and cortical button construct.

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Early failures with single clavicular transosseous coracoclavicular ligament reconstruction

Cited by 84 publications

References 26 publications

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Acromioclavicular joint separations

Arthroscopic Anatomic Coracoclavicular Ligament Repair Using a 6-Strand Polyester Suture Tape and Cortical Button Construct

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