Revision Acromioclavicular-Coracoclavicular Reconstruction: Use of Precontoured Button and 2 Allografts

Autor: Daniel B. Haber, M.D., Robert C. Spang, M.D., George Sanchez, B.S., Anthony Sanchez, B.S., Márcio B. Ferrari, M.D., CAPTM.D., M.C., U.S.N.R. Matthew T. Provencher, M.D.
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Arthroscopy Techniques, Vol 6, Iss 6, Pp e2283-e2288 (2017)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2017.08.039
Popis: Injuries to the acromioclavicular (AC) joint are common, particularly in the young and active population. Approximately 9% of all shoulder girdle injuries involve the AC joint, and AC joint dislocations represent approximately 8% of all joint dislocations throughout the body. AC joint injuries are graded as type I through type VI according to the Rockwood classification. Type I and II injuries are typically treated nonoperatively, whereas type IV, V, and VI injuries are most often treated surgically. A variety of surgical techniques have been described, including anatomic and nonanatomic reconstruction. However, up to 80% of patients go on to lose radiographic reduction, and between 20% and 30% have complications leading to reoperation. Therefore, the objective of this Technical Note is to describe our preferred technique for the treatment of AC joint instability in the revision setting. This technique uses a Dog Bone Button (Arthrex, Naples, FL) and 2 allografts.
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