Reconstruction of Coracoclavicular Ligaments with Semitendinosus Autograft and Temporary Kirschner Wires is a good option for Chronic Acromioclavicular Joint Instability
https://doi.org/10.5704/MOJ.2403.013
- Author:
Ulusoy A
1
;
Turgut N
2
;
Cilli F
1
;
Unal AM
3
Author Information
1. Department of Orthopaedics and Traumatology, Acibadem University, Mugla, Turkey
2. Department of Orthopaedics and Traumatology, Baskent University, Adana, Turkey
3. Department of Orthopaedics and Traumatology, Private Meddem Hospital, Isparta, Turkey
- Publication Type:Journal Article
- Keywords:
acromioclavicular joint, acromioclavicular separation, coracoclavicular ligament reconstruction, acromioclavicular reconstruction
- From:Malaysian Orthopaedic Journal
2024;18(No.1):99-105
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: This study reports the results of surgical
anatomic reconstruction of torn coracoclavicular ligaments
with an autogenous semitendinosus graft and temporary
Kirschner wires (K-wires) in chronic acromioclavicular
(AC) joint dislocations.
Materials and methods: Nineteen shoulders underwent
surgical anatomic reconstruction of torn coracoclavicular
(CC) ligaments with an autogenous semitendinosus tendon
graft and temporary K-wires for Rockwood grade III, IV and
V chronic AC joint dislocations. Pre-operative data included
patients’ demographic characteristics, injury characteristics
and surgical histories. The primary outcome measures were
the University of California Los Angeles (UCLA) shoulder
rating scale and visual analogue pain scoring (VAS), and the
complications were noted for each patient.
Results: Surgical anatomic reconstruction of torn CC
ligaments was performed in 19 patients with a mean age of
41.6±16 years (range 21–72 years). All of the patients were
satisfied and felt better after CC ligament reconstruction. The
average UCLA shoulder rating scale score was
good/excellent: 29.4 (range 23–34) out of 35 points. The
average pre-operative VAS score was 7.7 points out of 10
and improved to 1.1 points post-operatively (p<0.05). None
of the patients experienced failure during the follow-up. One
patient had a mild subluxation, but the patient was satisfied
with the result.
Conclusions: This technique is simple, reliable, and biologic
without major complications. It is also a cost-effective
procedure since it can be performed with Kirschner wires
and autogenous grafts. It has a major advantage of leaving no
implants inside the joint, which can lead to hardware
complications, and it can be performed in basic operating
room settings.
- Full text:202408121217190363316.2024my1357.pdf
