Modified Weaver-Dunn Procedure Versus The Use of Semitendinosus Autogenous Tendon Graft for Acromioclavicular Joint Reconstruction

Hegazy, Galal; Safwat, Hesham; Seddik, Mahmoud; Alshal, Ehab; Al-Sebai, Ibrahim; Negm, Mohame

doi:10.2174/1874325001610010166

Cited by 53 publications

(85 citation statements)

References 42 publications

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“…performed biomechanical tests, which demonstrated the superiority of an anatomic CC ligament reconstruction over the modified Weaver-Dunn technique. Numerous modifications of the Weaver-Dunn technique and anatomic CC reconstruction have been reported including both open and arthroscopic options 7, 8, 9, 12, 13. Despite these efforts, up to 80% of patients following AC reconstruction have been reported to lose radiographic reduction, and between 20% and 30% of patients treated surgically are reported to have complications leading to reoperation 14, 15.…”

Section: Discussionmentioning

confidence: 99%

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion

Haber

Golijanin

Stone

et al. 2019

Arthroscopy Techniques

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Acromioclavicular (AC) joint injuries are a common cause of shoulder pain, particularly among young athletes participating in contact sports. Injuries to the AC joint most commonly occur from direct impact at the acromion and are classified as types I to VI. Although most AC joint injuries can be treated nonoperatively, types IV to VI are best treated with surgery, with type III being controversial and most surgeons recommending an initial trial of nonoperative treatment. Although numerous surgical techniques have been described, no gold standard technique has been established. Biomechanical testing suggests that anatomic reconstruction of both the AC and coracoclavicular ligaments results in a superior surgical construct. The objective of this Technical Note is to describe our preferred technique for the primary treatment of AC joint instability in the acute and chronic setting. Using 2 free tendon grafts in combination with a cortical button suspensory device combines the advantages of a nonrigid biologic and anatomic AC and coracoclavicular ligament reconstruction while benefiting from the strength of a cortical suspensory device in resisting displacement of the AC joint.

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Section: Discussionmentioning

confidence: 99%

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion

Haber

Golijanin

Stone

et al. 2019

Arthroscopy Techniques

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“… 25 Regarding the comparison in outcomes between AC joint reconstruction through the use of a semitendinosus autograft and the modified Weaver-Dunn procedure, Hegazy et al. 26 found better outcomes in AC joint reconstruction based on 20 patients with a mean follow-up time of 27.8 months. According to clinical and radiologic postoperative measurements, Tauber et al.…”

Section: Discussionmentioning

confidence: 99%

Acromioclavicular Joint Dislocation: Repair Through Open Ligament Transfer and Nonabsorbable Suture Fixation

Silva

Pavei

Ferrari

et al. 2017

Arthroscopy Techniques

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Acromioclavicular (AC) joint instability is a fairly common and particularly limiting injury that may result in persistent pain and reduced quality of life. In most cases, conservative management is successful. However, in the case of a severe AC joint dislocation, surgical intervention may be warranted. Previous surgical techniques for treatment of AC joint instability include screw fixation between the coracoid and clavicle, coracoacromial ligament transfer from its acromial insertion to the clavicle, and reconstruction of the coracoacromial and/or coracoclavicular ligaments. The purpose of this Technical Note is to describe our preferred technique for the treatment of a high-grade AC dislocation through coracoacromial ligament transfer to the lateral clavicle and nonabsorbable suture fixation between the coracoid process and clavicle.

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“…64 Hegazy et al also demonstrated superior outcomes in comparison to the modified Weaver-Dunn procedure by using a semitendinosus tendon in chronic AC joint injuries. 70 Kocaoglu et al compared an autogenic palmaris longus graft to a modified Weaver-Dunn procedure in chronic dislocations and postulated benefits for the graft group with significantly better outcome scores. 60 When comparing the modified Weaver-Dunn procedure to synthetic ligaments for the treatment of chronic dislocations, the synthetic ligament resulted in better outcome scores as well as earlier return to work and sport.…”

Section: Ligament and Tendon Transfersmentioning

confidence: 99%

<p>Optimal Management of Acromioclavicular Dislocation: Current Perspectives</p>

Nolte¹,

Lacheta²,

Dekker³

et al. 2020

ORR

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Injuries to the acromioclavicular (AC) joint are common and mostly involve younger, male individuals. Whereas the majority of AC joint dislocations can be treated nonoperatively with a trial of immobilization, pain medication, cryotherapy, and physiotherapy, there are patients that do not respond well to conservative management and may require surgical treatment. Identifying and treating these patients according to the type and chronicity of AC joint dislocation is paramount. To date, a myriad of surgical techniques have been proposed to address unstable AC joint dislocations and are indicative of the uncertainty that exists in optimal management of these injuries. Historically research has focused on the restoration of the coracoclavicular ligament complex. However, recently the importance of the acromioclavicular capsule and ligaments has been emphasized. This review aims to provide the reader with an overview of current treatment strategies and research, as well as future perspectives.

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Modified Weaver-Dunn Procedure Versus The Use of Semitendinosus Autogenous Tendon Graft for Acromioclavicular Joint Reconstruction

Cited by 53 publications

References 42 publications

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion

Acromioclavicular Joint Dislocation: Repair Through Open Ligament Transfer and Nonabsorbable Suture Fixation

<p>Optimal Management of Acromioclavicular Dislocation: Current Perspectives</p>

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