Prefered Surgical Technique Used by Orthopedists in Acute Acromioclavicular Dislocation

Abstract

Objective:To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). Methods:A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address acute ACD. Results:Thirty specialists and forty-five general orthopedists joined the study. Most specialists preferred the endobutton technique, while most general orthopedists preferred the modified Phemister procedure for coracoclavicular ligament repair using anchors. We found no difference between specialists and general orthopedists in the number of tunnels used to repair the coracoclavicular ligament; preferred method for wire insertion through the clavicular tunnels; buried versus unburied Kirschner wire insertion for acromioclavicular temporary fixation; and time for its removal; and regarding the suture thread used for deltotrapezoidal fascia closure. Conclusion:Training on shoulder and elbow surgery influences the surgeons' preferred technique to address acute ACD. Level of Evidence V, Expert Opinion.

A long term functional and radiological outcome assessment study of management of high grade acromioclavicular joint injury

“…6 There are several surgical techniques described for treating the ACD. 4 K wire fixation is associated with high rates of complications such as breakage and material migration, infection, arthritis and loss of reduction. 8 Weaver and Dunn described coracoacromial ligament transfer, transposing it to the distal portion of the clavicle however, with a complication loss of reduction.…”

“…2,3 Many surgical techniques have been described for the treatment of ACJ injuries, but none of them is the gold standard. 4 Coracoclavicular(CC) ligaments play a very important role in maintaining stability of the AC joint. 5,6 Therefore, CC interval fixation was recently used to surgically treat dislocation of the acromioclavicular (AC) joint.…”

Surgical treatment of acromioclavicular dislocation using the endobutton

“…There are several surgical techniques and preferences described for treating the acromioclavicular joint. 14 …”