Browse > Article
http://dx.doi.org/10.5397/CiSE.2013.16.2.115

Coracoclavicular Ligament Augmentation Using Tight-Rope® for Acute Acromioclavicular Joint Dislocation - Preliminary Report -  

Kweon, Seok Hyun (Department of Orthopaedic Surgery, Wonkwang University School of Medicine)
Choi, Sang Su (Department of Orthopaedic Surgery, Wonkwang University School of Medicine)
Lee, Seong In (Department of Orthopaedic Surgery, Wonkwang University School of Medicine)
Kim, Jeong Woo (Department of Orthopaedic Surgery, Wonkwang University School of Medicine)
Kim, Kwang Mee (Department of Nursing Science, Chodang University Muan)
Publication Information
Clinics in Shoulder and Elbow / v.16, no.2, 2013 , pp. 115-122 More about this Journal
Abstract
Purpose: The purpose of this study is to analyze the results of acute acromioclavicular joint dislocation treatment with coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ (Arthrex). Materials and Methods: From October 2009 to March 2011, 30 patients with acute acromioclavicular joint dislocation underwent coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ and were followed up for at least 12 months after surgery. The radiologic results were qualified according to serial plain radiographs, and the clinical results according to University of California - Los Angeles (UCLA) Shoulder Scale, Constant score, and VAS pain score. Results: Using the UCLA scoring system, excellent results were observed in 22 cases (73%), good results in five cases (17%), fair results in two cases (7%), and a poor result in one case (3%). The average Constant score was $92.5{\pm}7.5$. According to radiologic results, anatomical reduction was achieved in 26 cases, and two cases showed a moderate loss of reduction, and two cases showed complete re-dislocation. Clinical results for patients with re-dislocation were unsatisfactory and reoperation was required. Conclusion: Coracoclavicular ligament augmentation using Tight-Rope$^{(R)}$ is a good option providing reliable functional results in patients with acute acromioclavicular joint dislocation.
Keywords
Acute acromioclavicular joint dislocation; Coracoclavicular ligament augmentation; Tight-Rope$^{(R)}$;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Allman FL Jr. Fracture and ligamentous injures of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49:774-84.   DOI
2 Galatz LM, Willams GR. Acromioclavicular joint injuries. In: Bucholz RW, Heckman JD, eds. Rockwood and Green's Fractures in Adults. Vol 2. 5th ed. Philladelphia, PA: Lippincott Willams & Wilkins;2001.1209-40.
3 Mazzocca AC, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA. A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med. 2006;34:236-46.   DOI   ScienceOn
4 Gurtter PW, Petersen SA. Conservative or surgical treatment of acromioclavicular dislocation. A prospective, controlled, randomized study. Am J Sports Med. 2005;33:1723-8.   DOI   ScienceOn
5 Larsen E, Bjerg-Nielsen A, Christensen P. Conservative or surgical treatment of acromioclavicular dislocation. A prospective, controlled, randomized study. J Bone Joint Surg Am. 1986;68:552-5.   DOI
6 Baumgarten KM. Arthroscopic fixation of a type IIvariant, unstable distal clavicle fracture. Orthopedics. 2008;31:1-3.
7 Cho CH, Sohn SW, Kang CH, Oh GM. Coracoclavicular ligament augmentation using Tight-Rope􀋓 for acute acromioclavicular joint dislocation: surgical technique and preliminary results. J Korean Shoulder Elbow Soc. 2008;11:165-71.   과학기술학회마을   DOI   ScienceOn
8 Choi ES, Park KJ, Kim YM, et al. Arthroscopic treatment of acromioclavicular joint dislocation using $Tight-Rope^{(R)}$: preliminary results. J Korean Fracture Soc. 2010;23:310-6.   DOI
9 Murena L, Vulcano E, Ratti C, Cecconello L, Rolla PR, Surace MF. Arthroscopic treatment of acute acromioclavicular joint dislocation with double flip button. Knee Surg Sports Traumatol Arthrosc. 2009;17:1511-5.   DOI
10 Robinson CM, Akhtar MA, Jenkins PJ, Sharpe T, Ray A, Olabi B. Open reduction and Endobutton fixation of displaced fracture of lateral end of the clavicle in younger patients. J Bone Joint Surg Br. 2010; 92:811-6.
11 Zooker CC, Parks BG, White KL, Hinton RY. Tight-Rope versus fiber mesh tape augmentation of acromioclavicular joint reconstruction: a biomechanical study. Am J Sports Med. 2010;38:1204-8.   DOI   ScienceOn
12 Struhl S. Double Endobutton technique for repair of complete acromioclavicular joint dislocations. Tech Shoulder Elbow Surg. 2007;8:175-9.   DOI   ScienceOn
13 Ball SV, Sankey A, Cobiella C. Clavicle fracture following Tight-Rope fixation of acromioclavicular joint dislocation. Injury Extra. 2007;38:430-2.   DOI   ScienceOn
14 Fukuda K, Craig EV, An KN, Cofield RH, Chao EY. Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am. 1986;68:434-40.   DOI
15 Lim YW, Sood A, van Riet R P, Bain GI. Acromioclavicular joint reduction, repair and reconstruction using metallic buttons - early results and complications. Tech Shoulder Elbow Surg. 2007;8:213-21.   DOI   ScienceOn
16 Chernchujit B, Tischer T, Imhoff AB. Arthroscopic reconstruction of the acromioclavicular joint disruption: surgical technique and preliminary results. Arch Orthop Trauma Surg. 2006;126:575-81.   DOI   ScienceOn
17 Lancaster S, Horowitz M, Alonso J. Complete acromioclavicular separations. A comparison of operative methods. Clin Orthop Relat Res. 1987;216:80-8.
18 Klimkiewicz JJ, Williams GR, Sher JS, Karduna A, Des Jardins J, Iannotti JP. The acromioclavicular capsule as a restraint to posterior translation of the clavicle: a biomechanical analysis. J Shoulder Elbow Surg. 1999;8:119-24.   DOI   ScienceOn
19 Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26:137-44.   DOI
20 Bearden JM, Hughston JC, Whatley GS. Acromioclavicular dislocation: method of treatment. J Sports Med. 1973;1:5-17.
21 Neviaser JS. 7 Acromioclavicular dislocation treated by transference of the coraco-acromial ligament: A long-term follow-up in a series of 112 cases. Clin Orthop Relat Res. 1968;58:57-68.
22 Weaver JK, Dunn HK. Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. J Bone Joint Surg. 1972;54:1187-94.   DOI
23 Khan LA, Bradnock TJ, Scott C, Robinson CM. Fractures of the clavicle. J Bone Joint Surg Am. 2009;91:447-60.   DOI   ScienceOn
24 Dewar FP, Barrington TW. The treatment of chronic acromioclavicular dislocation. J Bone Joint Surg Am. 1965;47:32-5.
25 Weizman G. Treatment of acute acromioclavicular joint dislocation by a modified Bosworth method. J Bone Joint Surg Am. 1967;49:1167-78.   DOI
26 Shin SJ, Roh KJ, Kim JO, Sohn HS. Treatment of unstable distal clavicle fractures using two suture anchors and suture tension bands. Injury. 2009;40:1308-12.   DOI   ScienceOn
27 Yamaguchi H, Arakawa H, Kobayashi M. Results of the Bosworth method for unstable fractures of the distal clavicle. Int Orthop. 1998;22:366-8.   DOI   ScienceOn
28 Wellmann M, Zantop T, Peterson W. Minimally invasive coracoclavucular ligament augmentation with flip button/polydioxanon repair for treatment of total acromioclavicular joint dislocation. Arthroscopy, 2007;23:1132 e1-5.
29 Lim YW. Triple Endobutton technique in acromioclavucular joint reduction and reconstruction. Ann Acad Med. 2008;37:294-9.
30 Jari R, Costic RS, Rodosky MW, Debski RE. Biomecchanical function of surgical procedures for acromioclavicular joint dislocations. Arthroscopy. 2004;20:237-45.   DOI   ScienceOn
31 Debski RE, Parsons IM III, Fenwick J, Vangura A. Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint. Ann Biomed Eng. 2000;28:612-8.   DOI   ScienceOn