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      Arthroscopic Acromioclavicular Fixation With Suture Tape Augmentation After Coracoclavicular Fixation With Dog Bone Button: Surgical Technique

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      Author(s): , M.D., Ph.D., , M.D., , M.D., , M.D., , M.D. ∗
      Publication date (Electronic):
      Journal: Arthroscopy Techniques
      Publisher: Elsevier

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          Abstract

          An arthroscopic technique for the surgical treatment of acute acromioclavicular (AC) joint injuries is presented in this study. This procedure aims to achieve both vertical and horizontal stability through the healing of both coracoclavicular (CC) and AC ligaments. As a routine maneuver, arthroscopic CC stabilization was applied using the dog bone button to obtain only vertical stability. Additional arthroscopic AC joint fixation with suture tape augmentation is simple and easy and provides a safe technique to achieve horizontal stability of the joint and to increase the vertical stability to minimize the complications of standard CC reconstruction techniques.

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          Arthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations.

          Markus Scheibel, Silvia Dröschel, Christian Gerhardt … (2011)
          The purpose of this study was to evaluate the clinical and radiological results after arthroscopically assisted and image intensifier--controlled stabilization of high-grade acromioclavicular (AC) joint separations using the double TightRope technique with the first-generation implant. The double TightRope technique using the first-generation implant leads to good clinical and radiological results by re-creating the anatomy of the AC joint. Case series; Level of evidence, 4. Thirty-seven consecutive patients (4 women and 33 men; mean age, 38.6 years) who sustained an acute AC joint dislocation grade V according to Rockwood were included in this prospective study. The Subjective Shoulder Value (SSV), the Constant Score (CS), the Taft Score (TS), and a newly developed Acromioclavicular Joint Instability Score (ACJI) were used for final follow-up. Bilateral stress views and bilateral Alexander views were taken to evaluate radiographic signs of recurrent vertical and horizontal AC joint instability. Twenty-eight patients (2 women and 26 men; mean age, 38.8 years [range, 18-66 years]) could be evaluated after a mean follow-up of 26.5 months (range, 20.1-32.8 months). The interval from trauma to surgery averaged 7.3 days (range, 0-18 days). The mean SSV reached 95.1% (range, 85%-100%), the mean CS was 91.5 points (range, 84-100) (contralateral side: mean, 92.6 points), the mean TS was 10.5 points (range, 7-12), and the ACJI averaged 79.9 points (range, 45-100). The final coracoclavicular distance was 13.6 mm (range, 5-27 mm) on the operated versus 9.4 mm (range, 4-15 mm) on the contralateral side (P < .05). Radiographic signs of posterior instability were noted in 42.9% of cases. Patients with evidence of posterior instability had significantly inferior results in the TS and the ACJI (P < .05). Neither coracoid fractures nor early (within 6 weeks postoperatively) loss of reduction due to tunnel malpositioning or implant loosening was observed. The combined arthroscopically assisted and image intensifier--controlled double TightRope technique using implants of the first-generation represents a safe technique and yields good to excellent early clinical results despite the presence of partial recurrent vertical and horizontal AC joint instability.
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            Epidemiology of acromioclavicular joint injury in young athletes.

            Mark Pallis, Kenneth L. Cameron, Steven Svoboda … (2012)
            Acromioclavicular (AC) joint injuries, particularly sprains, are common in athletic populations and may result in significant time lost to injury. However, surprisingly, little is known of the epidemiology of this injury.
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              Complications after anatomic fixation and reconstruction of the coracoclavicular ligaments.

              Frank Martetschläger, Marilee Horan, Ryan Warth … (2013)
              Reconstruction of the disrupted acromioclavicular (AC) joint has historically resulted in high complication rates. As a result, there has been a move toward anatomic coracoclavicular (CC) ligament fixation and reconstruction, owing to its numerous biomechanical advantages and perceived clinical advantages.
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                Author and article information

                Contributors
                Jae-Sung Yoo
                Journal
                Journal ID (nlm-ta): Arthrosc Tech
                Journal ID (iso-abbrev): Arthrosc Tech
                Title: Arthroscopy Techniques
                Publisher: Elsevier
                ISSN (Electronic): 2212-6287
                Publication date PMC-release: 22 October 2018
                Publication date Collection: November 2018
                Publication date (Electronic): 22 October 2018
                Volume: 7
                Issue: 11
                Pages: e1197-e1203
                Affiliations
                [1]Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea
                Author notes
                [∗ ]Address correspondence to Jae-Sung Yoo, M.D., Department of Orthopaedic Surgery, Dankook University College of Medicine, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 330-715, Republic of Korea. osarthro@ 123456gmail.com
                Article
                Publisher ID: S2212-6287(18)30131-2
                DOI: 10.1016/j.eats.2018.08.005
                PMC ID: 6261742
                PubMed ID: 30533369
                SO-VID: 0ab0d512-aeca-4044-834d-518c81b3f4f3
                Copyright © © 2018 by the Arthroscopy Association of North America. Published by Elsevier.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 1 June 2018
                Date accepted : 2 August 2018
                Categories
                Subject: Technical Note

                Data availability:

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