Biomechanical evaluation of native acromioclavicular joint ligaments and two reconstruction techniques in the presence of the sternoclavicular joint: A cadaver study.

Autor: Masionis P; 1 Medical Faculty, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius University, Vilnius, Lithuania., Šatkauskas I; 1 Medical Faculty, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius University, Vilnius, Lithuania., Mikelevičius V; 1 Medical Faculty, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius University, Vilnius, Lithuania., Ryliškis S; 1 Medical Faculty, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius University, Vilnius, Lithuania., Bučinskas V; 2 Department of Mechatronics and Robotics, Vilnius Gediminas Technical University, Vilnius, Lithuania., Griškevičius J; 3 Department of Biomechanics, Vilnius Gediminas Technical University, Vilnius, Lithuania., Martin Oliva X; 4 Medical Faculty, Department of Embryology and Human Anatomy, University of Barcelona, Barcelona, Spain., Monzó Planella M; 4 Medical Faculty, Department of Embryology and Human Anatomy, University of Barcelona, Barcelona, Spain., Porvaneckas N; 1 Medical Faculty, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius University, Vilnius, Lithuania., Uvarovas V; 1 Medical Faculty, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius University, Vilnius, Lithuania.
Jazyk: angličtina
Zdroj: Journal of orthopaedic surgery (Hong Kong) [J Orthop Surg (Hong Kong)] 2017 Sep-Dec; Vol. 25 (3), pp. 2309499017730424.
DOI: 10.1177/2309499017730424
Abstrakt: Background: Where is over 100 reconstruction techniques described for acromioclavicular (AC) joint reconstruction. Although, it is not clear whether the presence of the sternoclavicular (SC) joint influences the biomechanical properties of native AC ligaments and reconstruction techniques. The purpose of the present study was to investigate the biomechanical properties of native AC joint ligaments and two reconstruction techniques in cadavers with the SC joint still present.
Materials and Methods: We tested eight fresh-frozen cadaver hemithoraces for superior translation (70 N load) and translation increment after 1000 cycles (loading from 20 to 70 N) in a controlled laboratory study. There were three testing groups created: native ligaments, the single coracoclavicular loop (SCL) technique, and the two coracoclavicular loops (TCL) technique. Superior translation was measured after static loading. Translation increment was calculated as the difference between superior translation after cyclic and static loading.
Results: Native AC ligaments showed significantly lower translation than the SCL ( p = 0.023) and TCL ( p = 0.046) groups. The SCL had a significantly lower translation increment than native AC ligaments ( p = 0.028). There was no significant difference between reconstruction techniques in terms of translation ( p = 0.865) and translation increment ( p = 0.113).
Conclusions: Native AC joint ligaments had better static properties than both reconstruction techniques and worse dynamic biomechanical properties than the SCL technique. The SCL technique appeared to be more secure than the TCL technique. The presence of the SC joint did not have an observable influence on test results.
Databáze: MEDLINE