Palmaris longus tendon graft versus modified Weaver-Dunn procedure via dynamic button system for acromioclavicular joint reconstruction in chronic cases

Background The hypothesis of this clinical study was that coracoclavicular (CC) reconstruction using autogenic palmaris longus graft through the GraftRope (PLG) system (Arthrex, Inc., Naples, FL, USA) would provide superior clinical and radiologic results compared with modified Weaver-Dunn procedure...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2017-09, Vol.26 (9), p.1546-1552
Main Authors: Kocaoglu, Baris, MD, Ulku, Tekin Kerem, MD, Gereli, Arel, MD, Karahan, Mustafa, MD, Türkmen, Metin, MD
Format: Article
Language:English
Subjects:
AC joint
Acromioclavicular Joint - diagnostic imaging
Acromioclavicular Joint - physiopathology
Acromioclavicular Joint - surgery
Adult
Arthroplasty, Replacement
button system
chronic
Clavicle - diagnostic imaging
Coracoid Process - diagnostic imaging
dislocation
Female
Follow-Up Studies
graft
Humans
Joint Dislocations - diagnostic imaging
Joint Dislocations - surgery
Male
Middle Aged
Orthopedics
palmaris longus
Radiography
reconstruction
Reconstructive Surgical Procedures - instrumentation
Reconstructive Surgical Procedures - methods
Retrospective Studies
Shoulder Dislocation - surgery
Tendons - transplantation
Weaver-Dunn
Young Adult
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Summary:Background The hypothesis of this clinical study was that coracoclavicular (CC) reconstruction using autogenic palmaris longus graft through the GraftRope (PLG) system (Arthrex, Inc., Naples, FL, USA) would provide superior clinical and radiologic results compared with modified Weaver-Dunn procedure with the dynamic TightRope (Arthrex, Inc.) system (WDT). Methods Between 2008 and 2013, 32 patients (average age, 39.7 years; range, 22-60 years) underwent surgical reconstruction of chronic acromioclavicular (AC) joint dislocation. A modified WDT procedure was performed in 16 patients and autogenous PLG was performed in the other 16 patients. Patient data were collected retrospectively, with a final follow-up of 44.9 months (range, 29-60 months). The degree of AC joint displacement was evaluated by measuring the CC distance on the anteroposterior and axillary view. Clinical and functional outcomes were compared by American Shoulder and Elbow Surgeons and the Constant scores at final follow-up. Results Comparison between the WDT and PLG groups showed a significantly better outcome in the American Shoulder and Elbow Surgeons and the Constant scores ( P  
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2017.01.024