Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique
Background The treatment for acromioclavicular joint injuries (ACJI) ranges from a conservative approach to extensive surgical reconstruction, and the decision on how to manage these injuries depends on the grade of acromioclavicular (AC) joint separation, resources, and skill availability. After a...
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2021-12-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2021-00325.pdf |
| _version_ | 1797334685954605056 |
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| author | Radhakrishnan Pattu Girinivasan Chellamuthu Kumar Sellappan Chendrayan Kamalanathan |
| author_facet | Radhakrishnan Pattu Girinivasan Chellamuthu Kumar Sellappan Chendrayan Kamalanathan |
| author_sort | Radhakrishnan Pattu |
| collection | DOAJ |
| description | Background The treatment for acromioclavicular joint injuries (ACJI) ranges from a conservative approach to extensive surgical reconstruction, and the decision on how to manage these injuries depends on the grade of acromioclavicular (AC) joint separation, resources, and skill availability. After a thorough review of the literature, the researchers adopted a simple cost-effective technique of AC joint reconstruction for acute ACJI requiring surgery. Methods This was a prospective single-center study conducted between April 2017 and April 2018. For patients with acute ACJI more than Rockwood grade 3, the researchers performed open coracoclavicular ligament reconstruction using synthetic sutures along with an Endobutton and a figure of 8 button plate. This was followed by AC ligament repair augmenting it with temporary percutaneous AC K-wires. Clinical outcomes were evaluated using the Constant Murley shoulder score. Results Seventeen patients underwent surgery. The immediate postoperative radiograph showed an anatomical reduction of the AC joint dislocation in all patients. During follow-up, one patient developed subluxation but was asymptomatic. The mean follow-up period was 30 months (range, 24–35 months). The mean Constant score at 24 months was 95. No AC joint degeneration was noted in follow-up X-rays. The follow-up X-rays showed significant infra-clavicular calcification in 11 of the 17 patients, which was an evidence of a healed coracoclavicular ligament post-surgery. Conclusions This study presents a simple cost-effective technique with a short learning curve for anatomic reconstruction of acute ACJI. The preliminary results have been very encouraging. |
| first_indexed | 2024-03-08T08:24:42Z |
| format | Article |
| id | doaj.art-b22a172052e64c6fa1f92ceb38341b07 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T08:24:42Z |
| publishDate | 2021-12-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-b22a172052e64c6fa1f92ceb38341b072024-02-02T05:02:41ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212021-12-0124420921410.5397/cise.2021.00325818Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new techniqueRadhakrishnan Pattu0Girinivasan Chellamuthu1Kumar Sellappan2Chendrayan Kamalanathan3 Department of Orthopedics, Government Mohan Kumaramangalam Medical College Hospital, Salem, India Department of Orthopedics, Government Mohan Kumaramangalam Medical College Hospital, Salem, India Department of Orthopedics, Government Mohan Kumaramangalam Medical College Hospital, Salem, India Department of Orthopedics, Government Mohan Kumaramangalam Medical College Hospital, Salem, IndiaBackground The treatment for acromioclavicular joint injuries (ACJI) ranges from a conservative approach to extensive surgical reconstruction, and the decision on how to manage these injuries depends on the grade of acromioclavicular (AC) joint separation, resources, and skill availability. After a thorough review of the literature, the researchers adopted a simple cost-effective technique of AC joint reconstruction for acute ACJI requiring surgery. Methods This was a prospective single-center study conducted between April 2017 and April 2018. For patients with acute ACJI more than Rockwood grade 3, the researchers performed open coracoclavicular ligament reconstruction using synthetic sutures along with an Endobutton and a figure of 8 button plate. This was followed by AC ligament repair augmenting it with temporary percutaneous AC K-wires. Clinical outcomes were evaluated using the Constant Murley shoulder score. Results Seventeen patients underwent surgery. The immediate postoperative radiograph showed an anatomical reduction of the AC joint dislocation in all patients. During follow-up, one patient developed subluxation but was asymptomatic. The mean follow-up period was 30 months (range, 24–35 months). The mean Constant score at 24 months was 95. No AC joint degeneration was noted in follow-up X-rays. The follow-up X-rays showed significant infra-clavicular calcification in 11 of the 17 patients, which was an evidence of a healed coracoclavicular ligament post-surgery. Conclusions This study presents a simple cost-effective technique with a short learning curve for anatomic reconstruction of acute ACJI. The preliminary results have been very encouraging.http://www.cisejournal.org/upload/pdf/cise-2021-00325.pdfacromioclavicular jointcoracoclavicular reconstructionopen techniqueanatomical reconstructionshoulder |
| spellingShingle | Radhakrishnan Pattu Girinivasan Chellamuthu Kumar Sellappan Chendrayan Kamalanathan Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique Clinics in Shoulder and Elbow acromioclavicular joint coracoclavicular reconstruction open technique anatomical reconstruction shoulder |
| title | Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique |
| title_full | Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique |
| title_fullStr | Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique |
| title_full_unstemmed | Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique |
| title_short | Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique |
| title_sort | anatomic reconstruction for acromioclavicular joint injuries a pilot study of a cost effective new technique |
| topic | acromioclavicular joint coracoclavicular reconstruction open technique anatomical reconstruction shoulder |
| url | http://www.cisejournal.org/upload/pdf/cise-2021-00325.pdf |
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