Anatomic reconstruction of acromioclavicular joint dislocations using allograft and synthetic ligament

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

Détails bibliographiques
Publié dans:JSES international. - 2020. - 4(2020), 3 vom: 25. Sept., Seite 515-518
Auteur principal: Yeranosian, Michael (Auteur)
Autres auteurs: Rangarajan, Rajesh, Bastian, Sevag, Blout, Collin, Patel, Vikas, Lee, Brian, Itamura, John
Format: Article en ligne
Langue:English
Publié: 2020
Accès à la collection:JSES international
Sujets:Journal Article Acromioclavicular joint reconstruction LockDown device allograft construct coracoclavicular ligament reconstruction synthetic ligament
Description
Résumé: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
Description:Date Revised 16.04.2022
published: Electronic-eCollection
Citation Status PubMed-not-MEDLINE
ISSN:2666-6383
DOI:10.1016/j.jseint.2020.04.001