Modified Internal Fixation Technique for Acromio-Clavicular (AC) joint dislocation: The “Hidden Knot Technique” | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 15، دوره 6، شماره 1، فروردین 2018، صفحه 81-84 اصل مقاله (482.91 K) | ||
| نوع مقاله: TECHNICAL NOTE | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2017.22035.1572 | ||
| نویسندگان | ||
| Hamidreza Aslani* 1؛ Fateme Mirzaee2؛ Zohreh Zafarani1؛ Shahin Salehi3 | ||
| 1Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran | ||
| 2University of Social Welfare and Rehabilitation Sciences Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran | ||
| 3Department of Sports Medicine, Shahid Beheshti University of Medical Sciences,Tehran, Iran | ||
| چکیده | ||
| Acromioclavicular (AC) joint injuries are common and often seen in contact athletes, resulting from a fall on the shoulder tip with adducted arm. This joint is stabilized by both static and dynamic structures including the coracoclavicular (CC) ligament. Most reconstruction techniques focus on CC ligament augmentation as the primary stabilizer of the AC joint. The best surgical technique for some AC joint dislocations is still controversial. In this study, we explained a modification of the CC ligament reconstruction technique described by Wellmann. The method is based on minimally invasive CC ligament augmentation with a flip button/polydioxanone (PDS) repair, typically used for extracortical ACL graft fixation. Patients commonly complain that heavy sutures under the skin in subcutaneous tissue irritate the skin and sometimes require reoperation for suture removal. We present an augmentation technique that resolves this issue by changing the suture knot location to the sub-clavicular position. | ||
| کلیدواژهها | ||
| Acromioclavicular joint dislocation؛ coracoclavicular ligament reconstruction؛ Internal Fixation؛ shoulder injury؛ Shoulder surgery | ||
| مراجع | ||
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1. Abat F, Sarasquete J, Natera LG, Calvo A, Perez- Espana M, Zurita N, et al. Biomechanical analysis of acromioclavicular joint dislocation repair using coracoclavicular suspension devices in two different configurations. J Orthop Traumatol. 2015; 16(3):215-9. 2. Balog TP, Min KS, Rumley JC, Wilson DJ, Arrington ED. Arthroscopic anatomic coracoclavicular ligament repair using a 6-strand polyester suture tape and cortical button construct. Arthrosc Tech. 2015; 4(6):e757-61. 3. Rockwood CA, Williams GR, Young D. Disorders of theacromioclavicular joint. Philadelphia: The Saunders; 1998. 4. Beris A, Lykissas M, Kostas-Agnantis I, Vekris M, Mitsionis G, Korompilias A. Management of acute acromioclavicular joint dislocation with a doublebutton fixation system. Injury. 2013; 44(3):288-92. 5. Wang Y, Zhang J. Acromioclavicular joint reconstruction by coracoid process transfer augmented with hook plate. Injury. 2014; 45(6):949-54. 6. Rosslenbroich SB, Schliemann B, Schneider KN, Metzlaff SL, Koesters CA, Weimann A, et al. Minimally invasive coracoclavicular ligament reconstruction with a flip-button technique (MINAR): clinical and radiological midterm results. Am J Sports Med. 2015; 43(7):1751-7. 7. Sandmann GH, Martetschlager F, Mey L, Kraus TM, Buchholz A, Ahrens P, et al. Reconstruction of displaced acromio-clavicular joint dislocations using a triple suture-cerclage: description of a safe and efficient surgical technique. Patient Saf Surg. 2012; 6(1):25. 8. Beitzel K, Obopilwe E, Chowaniec DM, Niver GE, Nowak MD, Hanypsiak BT, et al. Biomechanical comparison of arthroscopic repairs for acromioclavicular joint instability: suture button systems without biological augmentation. Am J Sports Med. 2011; 39(10):2218-25. 9. Shao RY, Zhang YC, Lou CJ, Shi GC, Yu JF, Luo C, et al. Coracoclavicular ligament reconstruction using autologous double-strand palmaris longus tendon and artificial ligament for the treatment of acromioclavicular joint dislocation. Zhongguo Gu Shang. 2011; 24(3):202-4. 10. Wellmann M, Zantop T, Petersen W. Minimally invasive coracoclavicular ligament augmentation with a flip button/polydioxanone repair for treatment of total acromioclavicular joint dislocation. Arthroscopy. 2007; 23(10):1132.e1-5. 11. Karas V, Barker J, Strauss E, Mcgill K, Provencher MT, Bach BR, et al. Can you achieve anatomic femoral tunnel placement with transtibial anterior cruciate ligament reconstruction using smaller tunnel sizes? Arthroscopy. 2011; 27(10):e195-6. 12. Wellmann M, Zantop T, Weimann A, Raschke MJ, Petersen W. Biomechanical evaluation of minimally invasive repairs for complete acromioclavicular joint dislocation. Am J Sports Med. 2007; 35(6):955-61. 13. Yoo YS, Seo YJ, Noh KC, Patro BP, Kim DY. Arthroscopically assisted anatomical coracoclavicular ligament reconstruction using tendon graft. Int Orthop. 2011; 35(7):1025-30. 14. Kumar N, Sharma V. Hook plate fixation for acute acromioclavicular dislocations without coracoclavicular ligament reconstruction: a functional outcome study in military personnel. Strategies Trauma Limb Reconstr. 2015; 10(2):79-85. 15. Li Q, Hsueh PL, Chen YF. Coracoclavicular ligament reconstruction: a systematic review and a biomechanical study of a triple endobutton technique. Medicine. 2014; 93(28):e193. 16. Wellmann M, Kempka JP, Schanz S, Zantop T, Waizy H, Raschke MJ, et al. Coracoclavicular ligament reconstruction: biomechanical comparison of tendon graft repairs to a synthetic double bundle augmentation. Knee Surg Sports Traumatol Arthrosc. 2009; 17(5):521-8. | ||
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