Mini incision acromio-clavicular joint reconstruction using palmaris longus tendon graft

Gogna, Paritosh; Mukhopadhyay, Reetadyuti; Singh, Amanpreet; Singla, Rohit; Batra, Amit; Magu, Narender Kumar; Nara, Rohit

doi:10.1007/s12306-014-0336-x

Cited by 8 publications

(12 citation statements)

References 15 publications

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“… 40 2015 Journal of Orthopaedic Surgery and Research III Open, 2 suspensory buttons 30 — 28.7 24 Mean CS 98.2 — Mean ASES score 100 — Mean postoperative CCD, mm NA — Complication rate, % 6.7 — Gangary and Meena 44 2016 Journal of Arthroscopy and Joint Surgery IV Arthroscopy assisted, 2 suspensory buttons 6 — 35 12 Mean CS NA — Mean postoperative CCD, mm 14.8 — Complication rate, % 66.7 — Gogna et al. 32 2015 Musculoskeletal Surgery IV Open, autograft (palmaris longus) 5 — 27.6 18 Mean CS NA — Mean DASH score 2.63 — Mean VAS score 0 — Mean postoperative CCD, mm NA — Complication rate, % 0 …”

Section: Resultsmentioning

confidence: 99%

“… 40 2 0 0 2 0 2 1 0 1 1 1 0 10 of 24 Gangary and Meena 44 2 1 2 1 0 1 1 0 8 of 16 Gogna et al. 32 0 1 0 1 0 1 2 0 5 of 16 Gupta et al. 35 0 1 1 1 0 1 0 0 4 of 16 Hegazy et al.…”

Section: Resultsmentioning

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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Section: Resultsmentioning

confidence: 99%

“… 40 2 0 0 2 0 2 1 0 1 1 1 0 10 of 24 Gangary and Meena 44 2 1 2 1 0 1 1 0 8 of 16 Gogna et al. 32 0 1 0 1 0 1 2 0 5 of 16 Gupta et al. 35 0 1 1 1 0 1 0 0 4 of 16 Hegazy et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Clinical and Patient-reported Outcomesmentioning

confidence: 99%

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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“…-открытое вправление и фиксация крючко-видной пластиной [6]; -вправление, а затем фиксация спицами Киршнера [7]; -вправление, а затем фиксация структурными трансплантатами [8];…”

Section: обмен клиническим опытомunclassified

The experience of minimally invasive restoration of acromioclavicular joint anatomy from mini-approach

et al. 2017

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Aim. To develop a method of acromioclavicular joint stabilization with the TightRope system using «mini-open» technique and to evaluate effectiveness and safety of this surgery. Methods. The study involved 11 patients with Rockwood type III, IV and V acromioclavicular joint dislocation, who underwent «mini-open» surgery of acromioclavicular joint stabilization using the TightRope device. The results were evaluated clinically using the Constant scale and radiologically 3, 6, and 12 months after the treatment. The results obtained were statistically processed and compared to the results of the treatment of patients with the same pathology published in the foreign literature. Results. In the early postoperative period (up to 3 months after the surgery) functional result according to Constant scale in the studied patients varied in the score range of 67.5±16.2. In the period of up to 12 months all patients had 82.5±11.5 score, which corresponds to good and excellent results and does not show significant difference compared to the arthroscopic technique (according to literature data). Complications among observed patients occurred in 18% and were identified in 2 patients (1 case of fixation loss, 1 local skin inflammation in the area of the wound). Conclusion. New surgical techniques allow achieving good and excellent functional results and to improve patient satisfaction.

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

Saccomanno

Sircana

Cardona

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To systematically review the outcomes of surgical treatments of acute acromioclavicular joint dislocation. Methods Studies were identified by electronic databases (Ovid, PubMed). All studies reporting functional and radiological outcomes of surgical treatments of acute acromioclavicular joint dislocations were included. Following data were extracted: authors and year, study design, level of evidence, number of patients, age, classification of acromioclavicular joint dislocation, time to surgery, surgical technique, follow-up, clinical and imaging outcomes, complications, and failures. Descriptive statistics was used, when a data pooling was not possible. Comparable outcomes were pooled to generate summary outcomes reported as frequency-weighted values. Quality appraisal was assessed through the MINORS checklist. Results One hundred and thirty-three studies were included for a total of 4473 shoulders. Mean age of participants was 36.9 years. Mean follow-up was 42.06 months. Arthroscopy showed better ASES (p < 0.0001) and lower VAS pain score (p = 0.0249) compared to an open approach. Biologic and synthetic reconstructions demonstrated better results over osteosynthesis techniques. Biologic techniques showed overall better Constant (p = 0.0001) and DASH (p = 0.0215) scores, while synthetic reconstruction showed better UCLA score (p = 0.0001). Among suture buttons, triple button showed overall better results in Constant (p = 0.0001) and VAS (p = 0.0001) scores, while better results in DASH score (p = 0.0003) were achieved by 2 double button techniques. Overall, the level of evidence was low. Conclusion Biological and synthetic reconstructions achieved better functional scores compared to osteosynthesis. Among suture buttons, the triple button showed better functional performance. Level of evidence IV.

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Mini incision acromio-clavicular joint reconstruction using palmaris longus tendon graft

Abstract: Acromio-clavicular reconstruction using the palmaris Longus tendon graft is a simple surgery worth trying by a surgeon not proficient in arthroscopic techniques.

Cited by 8 publications

References 15 publications

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

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

The experience of minimally invasive restoration of acromioclavicular joint anatomy from mini-approach

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

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