Luggage Tag Technique of Anatomic Fixation of Displaced Acromioclavicular Joint Separations
| Autor: | Jaron R. Andersen, G. Russell Huffman, John M. Itamura, Brian Lee, Surena Namdari, Keith D. Baldwin |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Coracoacromial ligament Joint Dislocations Tenodesis Coracoid process Coracoid law.invention Intramedullary rod Young Adult Fixation (surgical) law Suture Anchors medicine Humans Acromioclavicular joint Orthopedic Procedures Orthopedics and Sports Medicine Surgical Technique Aged Retrospective Studies business.industry General Medicine Middle Aged Plastic Surgery Procedures Biomechanical Phenomena Surgery medicine.anatomical_structure Acromioclavicular Joint Clavicle Coronal plane Ligaments Articular Female business |
| Zdroj: | Clinical Orthopaedics & Related Research. 468:259-265 |
| ISSN: | 0009-921X |
| DOI: | 10.1007/s11999-009-0877-8 |
| Popis: | Acromioclavicular joint dislocations are common injuries in active individuals. Most of these injuries may be treated nonoperatively. However, many techniques have been described when surgical management is warranted. A recent biomechanical study favors anatomic reconstruction of the conoid and trapezoid ligaments and the acromioclavicular joint capsule, as opposed to the traditional technique of excision of the lateral end of clavicle and transfer of the coracoacromial ligament to the intramedullary canal of the distal clavicle. We present a modification of the anatomic fixation technique using a luggage tag method, which places a graft under the base of the coracoid. This procedure has been associated with few redisplacements of the distal clavicle, reliable pain relief, and minimal postoperative morbidity. We found the luggage tag technique provides anatomic fixation of the distal clavicle and restoration of coronal and sagittal plane stability to the injured acromioclavicular joint. This procedure should reduce the possibility of coracoid fracture and decreases the risk of hardware complications associated with reconstruction techniques that violate the base of the coracoid process.Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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