Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Numerous procedures have been described for the operative management of acromioclavicular (AC) joint injuries. Some of these techniques, including hardware fixation and non-anatomical reconstructions, are associated with serious complications and high failure rates. Recently, AC joint reconstruction...

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Bibliographic Details
Published in:International orthopaedics 2011-04, Vol.35 (4), p.555-559
Main Authors: Wei, Hai-Feng, Chen, Yun-Feng, Zeng, Bing-Fang, Zhang, Chang-Qing, Chai, Yi-Min, Wang, Hai-Ming, Lu, Ye
Format: Article
Language:English
Subjects:
Acromioclavicular Joint - injuries
Acromioclavicular Joint - physiopathology
Acromioclavicular Joint - surgery
Adult
Aged
Female
Humans
Joint Dislocations - physiopathology
Joint Dislocations - surgery
Ligaments, Articular - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedic Fixation Devices
Orthopedic Procedures - instrumentation
Orthopedic Procedures - methods
Orthopedics
Postoperative Complications
Range of Motion, Articular
Reconstructive Surgical Procedures - instrumentation
Reconstructive Surgical Procedures - methods
Retrospective Studies
Sutures
Tendons - transplantation
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Summary:Numerous procedures have been described for the operative management of acromioclavicular (AC) joint injuries. Some of these techniques, including hardware fixation and non-anatomical reconstructions, are associated with serious complications and high failure rates. Recently, AC joint reconstruction techniques have focused on anatomical restoration of the coracoclavicular ligaments to achieve optimal clinical outcomes. We used a triple endobutton technique to separately reconstruct the trapezoid and the coronoid portions of the coracoclavicular ligament. We evaluated the preliminary clinical and radiological results of this technique in patients with acute complete dislocation of the AC joint. All patients achieved a significant improvement in the pain and function of shoulder at a mean follow-up interval of 12 months (range, 8–14 months). Excellent reduction of the AC joint was maintained. The triple endobutton technique may be safe and effective for the treatment of acute complete AC joint dislocations.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-010-1057-x