Modified Internal Fixation Technique for Acromio-Clavicular (AC) joint dislocation: The “Hidden Knot Technique”

نویسندگان

  • Fateme Mirzaee University of Social Welfare and Rehabilitation Sciences Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran
  • Shahin Salehi Department of Sports Medicine, Shahid Beheshti University of Medical Sciences,Tehran, Iran
  • Zohreh Zafarani Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran
چکیده مقاله:

Acromioclavicular (AC) joint injuries are common and often seen in contact athletes, resulting from a fall on the shouldertip with adducted arm. This joint is stabilized by both static and dynamic structures including the coracoclavicular (CC)ligament. Most reconstruction techniques focus on CC ligament augmentation as the primary stabilizer of the AC joint.The best surgical technique for some AC joint dislocations is still controversial. In this study, we explained a modificationof the CC ligament reconstruction technique described by Wellmann. The method is based on minimally invasive CCligament augmentation with a flip button/polydioxanone (PDS) repair, typically used for extracortical ACL graft fixation.Patients commonly complain that heavy sutures under the skin in subcutaneous tissue irritate the skin and sometimesrequire reoperation for suture removal. We present an augmentation technique that resolves this issue by changing thesuture knot location to the sub-clavicular position.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

MODIFIED ANATOMICAL RECONSTRUCTION TECHNIQUE FOR CHRONIC ACROMIOCLAVICULAR(AC) JOINT DISLOCATION

This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran

متن کامل

Modified Weaver-Dunn Technique in Management of Acromio-clavicular Joint Dislocation

Background: The treatment of AC dislocation is based upon the classification scheme, Type I and II injuries can be treated symptomatically, The treatment of type III injuries remains somewhat controversial, While operative intervention is often reserved for types IV, V and VI. Although there are more than 60 surgical techniques reported for repair and reconstruction of Acromio-clavicular and Co...

متن کامل

Complete dislocation of the acromio-clavicular joint.

(‘omplete dislocation of the acromio-clavicular joint is not a common injury. A review of the literature fails to disclose a carefully followed series numbering more than twenty-five identically treated cases. Treatment is indeed varied, and end-results uncertain. In the past four years we have been fortunate in encountering twenty-seven cases of complete acromio-clavicular dislocation (Fig. 1)...

متن کامل

Reconstruction of displaced acromio-clavicular joint dislocations using a triple suture-cerclage: description of a safe and efficient surgical technique

UNLABELLED PURPOSE In this retrospective study we investigated the clinical and radiological outcome after operative treatment of acute Rockwood III-V injuries of the AC-joint using two acromioclavicular (AC) cerclages and one coracoclavicular (CC) cerclage with resorbable sutures. METHODS Between 2007 and 2009 a total of 39 patients fit the inclusion criteria after operative treatment of ...

متن کامل

Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation

Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependentupon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicularseparation with several static and dynamic operative procedures with or without primary ligament replacement.Methods: 47 patients with acute Rockwood type III, IV, an...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 6  شماره 1

صفحات  81- 84

تاریخ انتشار 2018-01-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023