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Anatomical principles for minimally invasive reconstruction of the acromioclavicular joint with anchors

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Abstract

Purpose

The aim of this study was to evaluate the outcome of a minimally invasive surgical technique for the treatment of patients with acromioclavicular joint dislocation.

Methods

Sixteen patients with complete acromioclavicular joint dislocation were enrolled in this study. All patients were asked to follow the less active rehabilitation protocol post-operatively. Computed tomography with 3-D reconstruction of the injured shoulder was performed on each patient post operatively for the assessment of the accuracy of the suture anchor placement in the coracoid process and the reduction of the acromioclavicular joint. Radiographs of Zanca view and axillary view of both shoulders were taken for evaluating the maintenance of the acromioclavicular joint reduction at each follow-up visit. The Constant shoulder score was used for function assessment at the final follow-up.

Results

Twenty seven of the 32 anchors implanted in the coracoid process met the criteria of good position. One patient developed complete loss of reduction and another had partial loss of reduction in the anteroposterior plane. For the other 14 patients, the mean Constant score was 90 (range, 82–95). For the patients with partial and complete loss of reduction, the Constant score were 92 and 76 respectively. All of them got nearly normal range of motion of the shoulders and restored to pre-operative life and works.

Conclusion

With this minimally invasive approach and limited exposure of the coracoid, a surgeon can place the suture anchors at the anatomical insertions of the coracoclavicular ligament and allow the dislocated joint reduced and maintained well.

Level of evidence

Level IV, Case series; therapeutic study.

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Authors and Affiliations

  1. The Orthopedic Department, Northern Jiangsu People’s Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China

    Chuanzhi Xiong, Yaojia Lu, Qiang Wang, Gang Chen, Hansheng Hu & Zhihua Lu

Authors
  1. Chuanzhi Xiong
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  2. Yaojia Lu
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  3. Qiang Wang
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  4. Gang Chen
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  5. Hansheng Hu
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  6. Zhihua Lu
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Correspondence to Chuanzhi Xiong.

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There was no external source of funding for this investigation.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Xiong, C., Lu, Y., Wang, Q. et al. Anatomical principles for minimally invasive reconstruction of the acromioclavicular joint with anchors. International Orthopaedics (SICOT) 40, 2317–2324 (2016). https://doi.org/10.1007/s00264-016-3283-3

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  • DOI: https://doi.org/10.1007/s00264-016-3283-3

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