Journal Article10.3928/01477447-20111122-13
Evaluation of arthroscopic stabilization of acute acromioclavicular joint dislocation using the TightRope system.
73
TL;DR: The arthroscopic treatment of acute acromioclavicular dislocation using the TightRope is a minimally invasive surgical technique that has been proven effective for the treatment of these lesions and is characterized by less morbidity, less hospitalization, excellent cosmoses, and early rehabilitation.
read more
Abstract: The purpose of this study was to evaluate the results of the arthroscopic treatment of acute acromioclavicular dislocation using the TightRope system (Arthrex, Naples, Florida). Between January 2006 and May 2007, ten shoulders in 10 patients with acute acromioclavicular joint dislocation (Rockwood types IV and V) underwent arthroscopic acromioclavicular joint stabilization using the TightRope. Average patient age was 30 years (range, 22-42 years), and mean follow-up was 24 months (range, 18-30 months). Follow-up occurred at 2 and 6 weeks, 3 months, and then every 6 months postoperatively. The shoulders were evaluated radiologically by comparing the acromioclavicular joint with the normal side and clinically by assessing the pain, function, and range of joint motion using the Constant score.Ten patients returned to work without pain 10 to 12 weeks postoperatively. Average Constant score was 96.3 (range, 94-99) at last follow-up. Because of technical error, 1 patient experienced TightRope fixation failure on the coracoid side, and the acromioclavicular joint was redislocated, which was treated by an open technique. The 10 patients were satisfied with their functional results and cosmetic appearance.The arthroscopic treatment of acute acromioclavicular dislocation using the TightRope is a minimally invasive surgical technique that has been proven effective for the treatment of these lesions. It is characterized by less morbidity, less hospitalization, excellent cosmoses, and early rehabilitation.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Current Concepts in the Operative Management of Acromioclavicular Dislocations: A Systematic Review and Meta-analysis of Operative Techniques:
Anirudh K. Gowd,Joseph N. Liu,Brandon C. Cabarcas,Gregory L. Cvetanovich,Grant H. Garcia,Brandon J. Manderle,Nikhil N. Verma +6 more
TL;DR: Open and arthroscopic AC joint reconstruction techniques have no differences in loss of reduction, the complication rate, and the revision rate based on the available literature.
135
Complications After Arthroscopic Coracoclavicular Reconstruction Using a Single Adjustable–Loop-Length Suspensory Fixation Device in Acute Acromioclavicular Joint Dislocation
Sang Jin Shin,Nam Ki Kim +1 more
TL;DR: Satisfactory clinical outcomes were obtained after CC fixation using the single adjustable-loop-length suspensory fixation device for acute acromioclavicular joint dislocation, however, CC fixation failure of greater than 50% of the unaffected side in radiological examinations occurred in 33% ofThe patients within 3 months after the operation.
124
Complications following arthroscopic fixation of acromioclavicular separations: a systematic review of the literature.
Jarret M. Woodmass,John G Esposito,Yohei Ono,Atiba A Nelson,Richard S. Boorman,Gail M. Thornton,Ian Ky Lo +6 more
TL;DR: Arthroscopic AC reconstruction techniques carry a distinct complication profile and the TightRope/Endobutton techniques, when performed acutely, provide good radiographic outcomes at the expense of hardware irritation.
Complication rates and types of failure after arthroscopic acute acromioclavicular dislocation fixation. Prospective multicenter study of 116 cases.
TL;DR: Anatomic procedures to treat AC joint dislocation using CC ligament reconstruction resulted in an overall complication rate of 22.4% and influenced the return to sports and good to excellent outcomes were reported in patients without complications.
96
Surgical treatment of acute acromioclavicular joint dislocations: hook plate versus minimally invasive reconstruction
Sebastian Metzlaff,S. Rosslenbroich,Philipp Forkel,Benedikt Schliemann,H. Arshad,Michael J. Raschke,Wolf Petersen +6 more
TL;DR: Good clinical results can be achieved with both minimally invasive AC joint repair and hook plate fixation, however, in the hook plate group a second operation is mandatory for plate removal.
77
References
Surgical Treatment of Complete Acromioclavicular Dislocations
TL;DR: Surgical recon struction for acromioclavicular dislocation provides re liable results including use of the arm for sports or repetitive work, and there was a trend for better results and return to sports or heavy labor with early repairs; however, this was not statisti cally significant.
331
The management of acute acromioclavicular dislocation. A randomised prospective controlled trial
TL;DR: In this article, 60 patients with acute acromioclavicular dislocation were randomly allocated to treatment with a broad arm sling or to reduction and fixation with a coracocallavicular screw.
Surgical Treatment of Complete Acromioclavicular Dislocations
Abstract: Forty-four patients, ranging in age from 17 to 57 years (average, 32), were evaluated an average of 4 years (range, 2 to 9) after surgical reconstruction for Allman- Tossy Grade III acromioclavicular dislocations. Twenty- seven patients underwent repair for acute injuries (<3 weeks after injury) and 17 patients underwent recon structions for chronic injuries (>3 weeks). Coracocla vicular fixation with heavy nonabsorbable sutures was used to correct superior displacement in all cases. In addition, transfer of the coracoacromial ligament to the distal clavicle was performed in 15 of the 27 early re pairs and 17 of the 17 late reconstructions. Overall, 26 of 27 (96%) early repairs and 13 of 17 (77%) late re constructions achieved satisfactory results. There was a trend for better results and return to sports or heavy labor with early repairs; however, this was not statisti cally significant (P = 0.065). When the results of early repairs were compared with those of late reconstruc tions performed more than 3 months after injury, the results of the shoulders undergoing early repair were significantly better (P < 0.01). Overall, 39 of 44 (89%) patients achieved a satisfactory result. Surgical recon struction for acromioclavicular dislocation provides re liable results including use of the arm for sports or repetitive work.
210
Injuries to the acromioclavicular joint
TL;DR: This work reviews the current concepts of the treatment of the acromioclavicular joint injuries and suggests that sprains and minor subluxations are best managed conservatively and the more complex combined injuries in which other elements of the shoulder girdle are damaged should be considered.
201
The Evaluation and Treatment of the Injured Acromioclavicular Joint in Athletes
TL;DR: This review will clarify the current concepts in the management and treatment of acromioclavicular injuries in the athlete and Galen, one of the earliest noncompliant patients, will be clarified.
197