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Acromioclavicular Joint - Springer Nature

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Last Updated: 10 November 2022

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Low rate of substantial loss of reduction immediately after hardware removal following acromioclavicular joint stabilization using a suspensory fixation system

Materials and methods The retrospective monocentric study included two patients with a mean age of 36. 4 u00b1 12. 6 years, underwent hardware removal 18. 2 mb1 15. 0 months after an arthroscopically assisted stabilization surgery using a suspensory fixation device for AC joint injury between 01/2012 and 01/2021. A shorter time period between index stabilization surgery and hardware removal was significantly related to immediate loss of reduction, as hardware removal within one year following index stabilization was strongly connected to immediate loss of reduction. Despite the fact that radiological investigation revealed a statistically significant immediate superior clavicular displacement after this rarely required procedure, with an increasing incidence in the first year after stabilization, this does not necessarily have a clinically relevant way to influence ACJ stabilization's findings in a clinically relevant manner.

Source link: https://doi.org/10.1007/s00167-022-06978-5


Clinical and radiologic outcomes of the modified phemister procedure with coracoclavicular ligament augmentation using mersilene tape versus hook plate fixation for acute acromioclavicular joint dislocation

The aim of this research was to compare the clinical and radiological results of the new Phemister procedure with CC ligament augmentation using Mersilene tape to those of hook plate fixation for acute AC joint dislocation. Methods In this research, patients who underwent enhanced Phemister surgery with CC ligament augmentation using Mersilene tape or hook plate fixation for acute insecure AC joint dislocation with a minimum 5-year follow-up period were retrospectively reviewed. In terms of CC distance maintenance, Hook plate fixation was found to be superior to the new Phemister technique with CC ligament expansion using Mersilene tape, but there was no significant difference in the functional results after five years of follow-up. A relatively low-cost alternative for acute AC joint dislocation without the need of a second surgery for implant removal is a Mersilene tape modified for fibrillian augmentation.

Source link: https://doi.org/10.1186/s12893-022-01808-4

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions