Acromioclavicular joint augmentation at the time of coracoclavicular ligament reconstruction fails to improve functional outcomes despite significantly improved horizontal stability

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Coracoclavicular Ligament Reconstruction

Operative intervention is recommended for complete acromioclavicular (AC) joint dislocation to restore AC stability, but the best operative technique is still controversial. Twelve fresh-frozen male cadaveric shoulders (average age, 62.8 7.8 years) were equally divided into endobutton versus the modified Weaver-Dunn groups. Each potted scapula and clavicle was fixed in a custom made jig to allo...

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Functional coracoclavicular stabilization for acute acromioclavicular joint disruption.

Drs Dimakopoulos and Panagopoulos are from the University Hospital of Patras, Orthopaedic Clinic, Shoulder and Elbow Surgery Unit, Rio-Patras, Greece. Correspondence should be addressed to: Andreas Panagopoulos, MD, Riga Fereou 19, 26504 AktaioRio, Patras, Greece. This article presents a coracoclavicular functional stabilization technique to restore the anteroposterior and vertical displacement...

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Ligament Augmentation and Reconstruction System Failures in Repair of Grade V Acromioclavicular Joint Dislocation

The Ligament Augmentation and Reconstruction System® (LARS®) represents a popular synthetic anatomical reduction method for acromioclavicular joint dislocation by means of coracoclavicular ligament reconstruction. To our knowledge, no early failure has been documented in the literature. We present two unusual cases of LARS failure, one at four months after implant and the other at three weeks, ...

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Comparison of Acute Acromioclavicular Joint Dislocation Treatment by Screw Fixation with and without Ligament Reconstruction

Background & Aims: Acute acromioclavicular (AC) joint dislocation is common in shoulder injuries. Considering the biomechanics of this joint, the use of a treatment method, which can restore joint physiology and biomechanics to the extent possible, is important. This study aimed to compare the treatment of acute AC joint dislocation by screw fixation with and without ligament reconstruction. Me...

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Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction.

PURPOSE The purpose of this study was to report the clinical and structural outcomes after anatomic coracoclavicular ligament reconstruction (ACCR) with free tendon allografts in patients with grade III and grade V acromioclavicular (AC) joint dislocations. METHODS Thirty-one shoulders underwent primary ACCR with tendon allografts for Rockwood grade III and grade V AC joint dislocations. Preo...

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ژورنال

عنوان ژورنال: Knee Surgery, Sports Traumatology, Arthroscopy

سال: 2018

ISSN: 0942-2056,1433-7347

DOI: 10.1007/s00167-018-5152-7