Anatomic reconstruction of acromioclavicular joint dislocations using allograft and synthetic ligament
| Autor: | Brian Lee, Collin K. Blout, Sevag Bastian, Michael Yeranosian, Vikas V. Patel, John M. Itamura, Rajesh Rangarajan |
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| Rok vydání: | 2020 |
| Předmět: |
Shoulder
Retrospective review lcsh:Diseases of the musculoskeletal system allograft construct LockDown device business.industry Elbow Mean age lcsh:RD701-811 Acromioclavicular joint reconstruction medicine.anatomical_structure lcsh:Orthopedic surgery synthetic ligament medicine Ligament coracoclavicular ligament reconstruction Acromioclavicular joint Orthopedics and Sports Medicine Surgery Constant score lcsh:RC925-935 Nuclear medicine business Complication Coracoclavicular ligament |
| Zdroj: | JSES International, Vol 4, Iss 3, Pp 515-518 (2020) JSES International |
| ISSN: | 2666-6383 |
| Popis: | Background Acromioclavicular (AC) separations are commonly seen shoulder injuries. Numerous surgical reconstruction techniques have been described. In this study, we present a series of patients who underwent an anatomic reconstruction using a synthetic ligament and allograft construct. Methods We performed a retrospective review of patients with type IV or V AC separations who underwent primary or revision AC reconstruction with a luggage-tag synthetic ligament and a semitendinosus allograft placed through the anatomic insertion sites of the coracoclavicular ligaments. Patient-reported outcomes, as well as complication rates, were recorded at a minimum 2-year follow-up. Results Ten patients with a mean age of 44.2 ± 14.9 years were included in the study. The mean Disabilities of the Arm, Shoulder and Hand score was 15.5 ± 15.4; mean Single Assessment Numeric Evaluation score, 81.8 ± 12.1; mean Simple Shoulder Test score, 11.4 ± 1.1; mean American Shoulder and Elbow Surgeons score, 84.6 ± 15.7; mean Constant score, 82.5 ± 11.6; and mean visual analog scale score, 2 ± 2.6. Conclusion The technique using a luggage-tag synthetic ligament along with an anatomic allograft coracoclavicular ligament reconstruction is a safe, effective alternative to other techniques described in the literature. |
| Databáze: | OpenAIRE |
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