Versorgung der Schultereckgelenksprengung mittels akromioklavikulärer und korakoklavikulärer FiberWire®-Cerclage

Rehbein, K.; Jung, Christian; Becker, U.; Bauer, G

doi:10.1055/s-2008-1038577

Cited by 10 publications

(8 citation statements)

References 7 publications

(11 reference statements)

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“…CC ossification has been reported in 15% to 56% of patients at midterm followup, although it has not been shown to cause functional limitations. 13,70,76 Postoperative rehabilitation Patients are immobilized in a sling or brace for 6 to 8 weeks. Examples of suitable braces include the Gunslinger Shoulder Orthosis (Hanger Prosthetics and Orthotics Inc, Betheseda, MA) and the Lerman Shoulder Brace (DJO Inc, Vista, CA).…”

Section: Complications Of Treatmentmentioning

confidence: 99%

Acromioclavicular joint injuries: indications for treatment and treatment options

Johansen¹,

Grutter²,

McFarland³

et al. 2011

Journal of Shoulder and Elbow Surgery

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Section: Complications Of Treatmentmentioning

confidence: 99%

Acromioclavicular joint injuries: indications for treatment and treatment options

Johansen¹,

Grutter²,

McFarland³

et al. 2011

Journal of Shoulder and Elbow Surgery

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“…Regarding posttraumatic ossification, we cannot confirm the high rates described by Rehbein et al [29]. They published a report concerning transosseal acromioclavicular and coracoclavicular FiberWire cerclage for the treatment of acute acromioclavicular dislocation.…”

Section: Discussionmentioning

confidence: 60%

Radiographic changes in the operative treatment of acute acromioclavicular joint dislocation – tight rope technique vs. K-wire fixation

et al. 2013

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SummaryBackgroundOperative treatment of higher degree acromioclavicular joint luxation is common. A new option is made available by the tight rope technique. It claims to provide adequate outcome with the use of a minimally invasive technique. First clinical studies justified its medical use, but the equivalence to established surgical methods remains unclear. We therefore analyzed radiographic data from patients that were treated with the tight rope system (TR) and compared them to those treated with K-wires (KW) fixation.Material/MethodsRetrospective study with inclusion criteria: surgery for acromioclavicular joint luxation between 2004 and 2011, classified as Rockwood type III, no concomitant injury, first event injury. We compared pre- and post-operative X-rays with those taken at the end of treatment. Clinical data from follow-ups and radiographic data were evaluated. The main outcome variable was the remaining distance between the acromion and clavicle (ACD), as well as the coracoid process and clavicle (CCD).Results27 patients (TR: n=16; KW: n=11) with comparable demographics and injury severity were included. Surgery reduced ACD (TR: p=0.002; KW: p<0.001) and CCD (TR: p=0.001; KW: p=0.003). Heterotopic ossification or postoperative osteolysis was not significantly associated with either one of the procedures. Three patients (18.75%) in the TR group showed impaired wound healing, migrating K-wires were recorded in 2 patients (18.2%) and impingement syndrome occurred in 1 patient (9.1%) with K-wires. Posttraumatic arthritis was not seen. There was a loss of reduction in 2 cases within the TR-group (12.51%) and 1 in the KW-group (9.1%). At last follow up, ACD and CCD were wider in both groups compared to the healthy side.ConclusionsThis study shows that the Tight rope system is an effective alternative in the treatment of higher degree acromioclavicular luxation and comparable to the established methods.

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“…Fibers such as Ultrabraid do not seem to suffer from this migration and have been used successfully in AC joint reconstructions. [10] AC surgery has also been found to suffer higher rates of post-traumatic arthritis. By avoiding penetrating the articular cartilage and using a small distal clavicle excision, we hope this will be limited.…”

Section: Discussionmentioning

confidence: 99%

A simple and safe technique for reconstruction of the acromioclavicular joint

Rushton

Gray

Cresswell

2010

Int J Shoulder Surg

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Surgical reconstruction of the dislocated acromioclavicular joint often requires exposure and instrumentation of the coracoid. This carries risks to the surrounding neurovascular structures. We present a safe and simple technique of primary fixation of the acromioclavicular joint, relying on mechanical principles and biological repair, without the need for metalwork. By avoiding the coracoid we hope this approach will appeal to the general orthopedic surgeon. We have found that this technique is suited to both acute and chronic acromioclavicular joint dislocation.

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Versorgung der Schultereckgelenksprengung mittels akromioklavikulärer und korakoklavikulärer FiberWire®-Cerclage

Abstract: This procedure for an exact anatomic AC joint reconstruction shows good objective results with a high Constant and Rowe scores for shoulder function. Postoperative ossifications of the AC joint ligaments are common, but seem to have no influence on the clinical results.

Cited by 10 publications

References 7 publications

Acromioclavicular joint injuries: indications for treatment and treatment options

Acromioclavicular joint injuries: indications for treatment and treatment options

Radiographic changes in the operative treatment of acute acromioclavicular joint dislocation – tight rope technique vs. K-wire fixation

A simple and safe technique for reconstruction of the acromioclavicular joint

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