Rekonstruktion einer iatrogenen Akromionpseudarthrose

Liodakis, Emmanouil; Kenawey, Mohamed; Petri, Maximilian; Liodaki, Eirini; Hankemeier, Stefan; Krettek, Christian; Jagodzinski, Michael

doi:10.1007/s00113-010-1818-4

Cited by 6 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The causes of initial trauma were various traffic accidents/crashes in 13 patients, a fall or fall from a height in five, injuries sustained during or due to sports activities such as skiing and gymnastics in two (including an apparent complete fracture as the final stage of stress fracture), iatrogenic accidents during surgical procedures in two, excessive muscle force in one, other accidents in three, and uncertain or unknown in three. There were two patients with iatrogenic acromion/spine fracture; one was a 34-year-old woman with psychological problems who had a fracture confirmed 2 months after open anterior acromioplasty for chronic subacromial impingement and was treated conservatively [ 45 ], while the other was a 67-year-old man whose fracture occurred during arthroscopic subacromial decompression for a massive rotator cuff tear [ 61 ] (Table 1 [ 62 – 66 ]).…”

Section: Resultsmentioning

confidence: 99%

“…The exclusion criteria were descriptive articles or cases, articles or cases without appropriate images to enable the evaluation of the injury details, stress fractures, a young patient with an unfused acromion physis, and fractures in patients with a history of surgical intervention that weakens acromion/spine. Citation tracking was conducted to find additional related English articles and notable full-text articles written in other languages, which were carefully selected and added to the qualitative synthesis (five studies) [ 22 , 44 , 59 – 61 ] (Fig. 3 ).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Nonunion of the so-called acromion: a systematic review with consideration of the terminology

Ogawa

Matsumura

Yoshida

et al. 2023

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Introduction There is no widely accepted standard for the classification and treatment of traumatic acromion/scapular spine fracture nonunion due to the scarcity of this condition and the confusion of terminology. Materials and methods PubMed and Scopus were searched using “scapular fracture” and “acromion fracture” or “scapular spine fracture” as search terms. The inclusion criteria were English full-text articles concerning acromion/scapular spine fracture nonunion that described patient characteristics and presented appropriate images. The exclusion criteria were cases without appropriate images. Citation tracking was conducted to find additional articles and notable full-text articles written in other languages. Fractures were classified using our newly proposed classification system. Results Twenty-nine patients (19 men, 10 women) with 29 nonunions were identified. There were four type I, 15 type II, and 10 type III fracture nonunions. Only 11 fractures were isolated. The mean period from initial injury to final diagnosis was 35.2 ± 73.2 months (range 3–360 months) (n = 25). The most frequent cause of delayed diagnosis was conservative treatment for fracture in 11 patients, followed by oversight by the physician in 8. The most common reason for seeking medical advice was shoulder pain. Six patients received conservative therapy, and 23 received operative treatment. Fixation materials included various plates in 15 patients, and tension band wiring in 5. Bone grafting was performed in 16 patients (73%, 16/22). Of the 19 surgically treated patients with adequate follow-up, the outcome was rated excellent in 79%. Conclusions Isolated acromion/scapular spine fracture nonunion is rare. Fracture type II and III, arising in the anatomical scapular spine, accounted for 86% of the fractures. Computed tomography is required to prevent fracture oversight. Surgical therapy produces good stable results. However, it is important to select the appropriate surgical fixation method and material after considering the anatomical characteristics of the fracture and stress on the fractured portion. Level of evidence V

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Nonunion of the so-called acromion: a systematic review with consideration of the terminology

Ogawa

Matsumura

Yoshida

et al. 2023

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

show abstract

“…A scar formation anterolateral to the acromion indicated that an open procedure had been performed. In a review of the literature, we found case reports about complications and complication management following total acromionectomy [1,5,10] as well as reports about complications and complication management after excessive arthroscopic acromioplasty [3,12,14,18].…”

Section: Discussionmentioning

confidence: 99%

“…Third, if acromioplasty is performed, over-resection of the anterolateral acromion should be avoided as it may result in acromion fractures [3,12,14,18,19]. Iatrogenic detachment of the deltoid muscle can occur either directly during electrocautery processes or due to an acromial avulsion fracture [3,7,14] and must be avoided as it results in disastrous clinical impairment [7].…”

Section: Introductionmentioning

confidence: 99%

Surgical reconstruction of the anterolateral acromion with a tricortical iliac crest bone graft after extensive acromioplasty

Tross

Nolte

Loew³

et al. 2021

Obere Extremität

View full text Add to dashboard Cite

Subacromial decompression is one of the most frequently performed procedures in the setting of arthroscopic shoulder surgery and typically includes acromioplasty. However, the indication for acromioplasty remains a subject of debate. Possible complications involve deltoid muscle insufficiency due to an excessive removal of the anterior acromion. This case report is intended to draw attention to this particular complication and its management.

show abstract

“…Although the treatment of bone defect using bone transport technique has been used widely include reconstruction of the bone defect along with soft-tissue coverage, correction of the joint contractures or malalignment. However, inevitable difficulties and complications related to bone transport technique using the Ilizarov method have been reported by many studies 9,[13][14][15][16][17][18][19] . It is remaining a major concern to these complications which could affect on the clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Complications of bone transport technique using the Ilizarov method in the lower extremity: a retrospective analysis of 282 consecutive cases over 10 years

Liu

Yushan

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The treatment of large bone defects in lower limbs is a serious challenge for orthopedic surgeons and patients. The bone transport technique using the Ilizarov method has become the main treatment option for the reconstruction of bone defect. However, inevitable difficulties and complications related to bone transport technique have been reported by many studies. The purpose of this study was to evaluate the effectiveness and complications of bone transport technique using Ilizarov method in the treatment of bone defect of lower extremity.Methods: The study was conducted on 282 patients who underwent bone transport procedures using Ilizarov method at our institution from January 2007 to June 2017. Patient’s demographic data, complications and clinical outcomes at minimum of two years follow-up were collected and retrospectively analyzed. All difficulties that related to bone transport were documented according to Paley’s classification. The clinical outcomes were evaluated using Association for the Study and Application of the Method of Ilizarov criteria (ASAMI) at last clinical visit. Results: There were 243 male and 39 females with a mean age of 40 years (range 18-65 years). The mean defect was 6.56±2.15 cm, whereas single level transport in 221 cases and double level transport in 61 cases. There were 189 problems, 166 obstacles and 406 complications (257 minor and 149 major complications), and the average complication rate per patients consists of 0.91 minor and 0.53 major complications. The top five complications were pin-site infection (65.96%), axial deviation (40.78%), joint stiffness (23.76%), soft tissue incarceration (22.34%) and delayed union of the docking site (13.48%).The ASAMI bony result was excellent in 233 patients, good in 32, fair in 5 and poor in 12. The ASAMI functional result was excellent in 136 patients, good in 88, fair in 47, poor in 11.Conclusion: Bone transport is a reliable method for reconstruction of bone defects in the femur and tibia. Awareness of predictable complications is beneficial to prevent or early detection of the expected complication which can improve the risk-benefit balance.

show abstract

Rekonstruktion einer iatrogenen Akromionpseudarthrose

Cited by 6 publications

References 16 publications

Nonunion of the so-called acromion: a systematic review with consideration of the terminology

Nonunion of the so-called acromion: a systematic review with consideration of the terminology

Surgical reconstruction of the anterolateral acromion with a tricortical iliac crest bone graft after extensive acromioplasty

Complications of bone transport technique using the Ilizarov method in the lower extremity: a retrospective analysis of 282 consecutive cases over 10 years

Contact Info

Product

Resources

About