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Revisionen und Salvage-Procedures nach Verletzungen des Akromioklavikulargelenks

Revision and salvage procedures for injuries to the acromioclavicular joint

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Zusammenfassung

Bei Versagen der konservativen Therapie oder eines primären operativen Eingriffs mit Rezidivinstabilität des Akromioklavikular- (AC-)Gelenks müssen Alternative Verfahren gewählt werden. Die konservative Therapie ist meist wenig Erfolg versprechend. Heute hat sich neben dem Weaver-Dunn-Verfahren und seiner Modifikationen eine Reihe von Eingriffen den Weg in die Literatur und die Ooerationssäle gebahnt, deren Prinzip darin besteht, eine primär hohe Stabilität durch ein mehr oder weniger rigides Implantat zu erreichen und dann eine biologische Augmentation mittels Sehnentransplantat zu erzielen. Diese Eingriffe werden nun zunehmend auch arthroskopisch oder arthroskopisch assistiert durchgeführt.

Abstract

Failed conservative treatment or surgical procedures for acute AC joint seperations create the demand for revision or salvage procedures to successfully treat persistent AC joint instability. Besides the classic Weaver-Dunn procedure and its modifications lately new procedures combining a more or less rigid implant for primary stability with a biologic augmentation using an autologous tendon graft have been developed. These procedures are performed arthroscopically or arthroscopically assisted.

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Literatur

  1. Beitzel K, Obopilwe E, Chowaniec DM et al (2011) Biomechanical comparison of arthroscopic repairs for acromioclavicular joint instability: suture button systems without biological augmentation. Am J Sports Med 39:2218–2225

    Article  PubMed  Google Scholar 

  2. Boileau P, Old J, Gastaud O et al (2010) All-arthroscopic Weaver-Dunn-Chuinard procedure with double-button fixation for chronic acromioclavicular joint dislocation. Arthroscopy 26:149–160

    Article  PubMed  Google Scholar 

  3. Bostrom Windhamre HA, Von Heideken JP, Une-Larsson VE et al (2010) Surgical treatment of chronic acromioclavicular dislocations: a comparative study of Weaver-Dunn augmented with PDS-braid or hook plate. J Shoulder Elbow Surg 19:1040–1048

    Article  Google Scholar 

  4. Carofino BC, Mazzocca AD (2010) The anatomic coracoclavicular ligament reconstruction: surgical technique and indications. J Shoulder Elbow Surg 19:37–46

    Article  PubMed  Google Scholar 

  5. Deberardino TM, Pensak MJ, Ferreira J et al (2010) Arthroscopic stabilization of acromioclavicular joint dislocation using the AC graftrope system. J Shoulder Elbow Surg 19:47–52

    Article  PubMed  Google Scholar 

  6. Dimakopoulos P, Panagopoulos A, Syggelos SA et al (2006) Double-loop suture repair for acute acromioclavicular joint disruption. Am J Sports Med 34:1112–1119

    Article  PubMed  Google Scholar 

  7. Harris RI, Wallace AL, Harper GD et al (2000) Structural properties of the intact and the reconstructed coracoclavicular ligament complex. Am J Sports Med 28:103–108

    PubMed  CAS  Google Scholar 

  8. Jiang C, Wang M, Rong G (2007) Proximally based conjoined tendon transfer for coracoclavicular reconstruction in the treatment of acromioclavicular dislocation. J Bone Joint Surg American volume 89:2408–2412

    Article  Google Scholar 

  9. Laprade RF, Wickum DJ, Griffith CJ et al (2008) Kinematic evaluation of the modified Weaver-Dunn acromioclavicular joint reconstruction. Am J Sports Med 36:2216–2221

    Article  PubMed  Google Scholar 

  10. Lee SJ, Nicholas SJ, Akizuki KH et al (2003) Reconstruction of the coracoclavicular ligaments with tendon grafts: a comparative biomechanical study. Am J Sports Med 31:648–655

    PubMed  Google Scholar 

  11. Mazzocca AD, Santangelo SA, Johnson ST et al (2006) A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med 34:236–246

    Article  PubMed  Google Scholar 

  12. Scheibel M, Ifesanya A, Pauly S et al (2008) Arthroscopically assisted coracoclavicular ligament reconstruction for chronic acromioclavicular joint instability. Arch Orthop Trauma Surg 128:1327–1333

    Article  PubMed  Google Scholar 

  13. Tauber M, Eppel M, Resch H (2007) Acromioclavicular reconstruction using autogenous semitendinosus tendon graft: results of revision surgery in chronic cases. J Shoulder Elbow Surg 16:429–433

    Article  PubMed  Google Scholar 

  14. Tauber M, Gordon K, Koller H et al (2009) Semitendinosus tendon graft versus a modified Weaver-Dunn procedure for acromioclavicular joint reconstruction in chronic cases: a prospective comparative study. Am J Sports Med 37:181–190

    Article  PubMed  Google Scholar 

  15. Thomas K, Litsky A, Jones G et al (2011) Biomechanical comparison of coracoclavicular reconstructive techniques. Am J Sports Med 39:804–810

    Article  PubMed  Google Scholar 

  16. Weaver JK, Dunn HK (1972) Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. J Bone Joint Surg American volume 54:1187–1194

    CAS  Google Scholar 

  17. Weinstein DM, Mccann PD, Mcilveen SJ et al (1995) Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med 23:324–331

    Article  PubMed  CAS  Google Scholar 

  18. Wellmann M, Lodde I, Schanz S et al (2008) Biomechanical evaluation of an augmented coracoacromial ligament transfer for acromioclavicular joint instability. Arthroscopy 24:1395–1401

    Article  PubMed  Google Scholar 

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Der korrespondierende Autor weist auf folgende Beziehung/en hin: Royalties und Paid Consultant Arthrex GmbH.

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  1. Schulter- und Ellenbogenchirurgie, ATOS-Klinik Heidelberg, Bismarckstraße 9–15, 69115, Heidelberg, Deutschland

    S. Lichtenberg

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  1. S. Lichtenberg
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Lichtenberg, S. Revisionen und Salvage-Procedures nach Verletzungen des Akromioklavikulargelenks. Unfallchirurg 115, 887–891 (2012). https://doi.org/10.1007/s00113-012-2250-8

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  • DOI: https://doi.org/10.1007/s00113-012-2250-8

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