Surgical treatment of chronic acromioclavicular joint dislocation using the Weaver-Dunn procedure augmented by the TightRope® system

被引：7

作者：

Al-Ahaideb A. ^{[1
]}

机构：

[1] College of Medicine, King Saud University, Riyadh

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2014年 / 24卷 / 5期

关键词：

Acromioclavicular; Shoulder; TightRope; Weaver-Dunn procedure;

D O I：

10.1007/s00590-013-1356-1

中图分类号：

学科分类号：

摘要：

Background: Variable outcomes resulting from the availability of multiple techniques for the treatment of chronic acromioclavicular joint (ACJ) dislocation have led to difficulty in choosing the optimal therapeutic strategy. Accordingly, the authors describe a technique for the treatment of chronic ACJ dislocation and its benefits. Subjects and methods: The authors present a technique for surgically treating chronic ACJ dislocation using the Weaver-Dunn procedure in combination with a commercially available system (TightRope; Arthrex, Naples, FL, USA). Nine patients with chronic ACJ dislocation were surgically treated and postoperative results were evaluated. Results: The patients were followed up for a mean of 20 months. Shoulder function was evaluated using the Constant score, with a mean score of 97 %. Compared with the uninjured side, radiography showed anatomical repositioning in the vertical plane in seven cases and slight loss of reduction in two cases. The procedure provided good functional and subjective results. All patients returned to their pre-injury activity levels. Conclusion: The Weaver-Dunn procedure augmented by the TightRope system appeared to be an effective for treating chronic ACJ dislocation and led to excellent outcomes in terms of return to pre-injury level of function. © 2013 Springer-Verlag.

引用

页码：741 / 745

页数：4

共 23 条

[11]

Kumar S., Penematsa S.R., Selvan T., Surgical reconstruction for chronic painful acromioclavicular joint dislocations, Archives of Orthopaedic and Trauma Surgery, 127, 6, pp. 481-484, (2007)

[12]

Bircher H.P., Julke M., Thur C., Reconstruction of chronic symptomatic acromioclavicular joint dislocation (Rockwood III-V) using modified Weaver-Dunn method, Swiss Surg, 2, pp. 46-50, (1996)

[13]

Rolf O., Von Weyhern A.H., Ewers A., Boehm T.D., Gohlke F., Acromioclavicular dislocation Rockwood III-V: Results of early versus delayed surgical treatment, Arch Orthop Trauma Surg, 128, pp. 1153-1157, (2008)

[14]

Bathis H., Tingart M., Bouillon B., Tiling T., Conservative or surgical therapy of acromioclavicular joint injury

[15]

what is reliable? A systematic analysis of the literature using ''evidence-based medicine'' criteria, Chirurg, 71, pp. 1082-1089, (2000)

[16]

Scheibel M., Droschel S., Gerhardt C., Kraus N., Arthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations, Am J Sports Med, 39, (2011)

[17]

Wellmann M., Lodde I., Schanz S., Zantop T., Raschke M.J., Petersen W., Biomechanical evaluation of an augmented coracoacromial ligament transfer for acromioclavicular joint instability, Arthroscopy, 24, 12, pp. 1395-1401, (2008)

[18]

Weaver J.K., Dunn H.K., Treatment of acromioclavicular injuries, especially complete acromioclavicular separation, J Bone Joint Surg Am, 54, pp. 1187-1194, (1972)

[19]

Beitzel K., Cote M.P., Apostolakos J., Solovyova O., Et al., Current concepts in the treatment of acromioclavicular joint dislocations, Arthroscopy, 29, 2, pp. 387-397, (2013)

[20]

Richards A., Tennent D., Arthroscopic stabilization of acute acromioclavicular joint dislocation using the TightRope system, Tech Should Elb Surg, 9, 2, pp. 51-54, (2008)

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