Official Journal of the Italian Society of Orthopaedics and Traumatology
From: Management of chronic unstable acromioclavicular joint injuries
Study | n | Type of treatment | Mean follow-up | Results |
---|---|---|---|---|
Weinstein et al. [6] | 44 | Modified Weaver–Dunn technique in 15/27 acute cases, and in 14/17 chronic cases. The rest of the repairs were performed by means of AC non-absorbable sutures | 4 years (range 2–9) | Satisfactory results in 96% of acute cases and 76% of chronic cases. The differences were statistically significant in favor of acute cases |
Rolf et al. [11] | 49 | 29 patients using the modified Phemister technique versus a group of patients who underwent surgery after failure of conservative treatment (20 modified Weaver–Dunn) | 53 months (range 20–92) | The results were significantly superior in the group of patients managed in the acute phase |
von Heideken et al. [12] | 37 | 22 patients treated in the acute phase versus 15 patients treated in the chronic phase. Hook plate in all cases | 22 acute patients were re-evaluated at average of 38 months (range 15–96 months) after surgery, and 15 chronic patients were re-evaluated at an average of 36 months (range 18–62) after surgery | The results significantly favored both the clinical and radiological aspects, to the group of patients treated in the acute phase |
Mignani et al. [13] | 40 | 25 patients in the acute phase versus 15 patients in the chronic phase. In both groups the management consisted of AC and CC temporary fixations with K-wires | Unknown | Satisfactory results in 100% of patients in the acute group and 93% of patients in the chronic group. No statistically significant differences |
Dumontier et al. [14] | 56 | 32 patients in the acute phase versus 24 patients in the chronic phase. All patients were treated by means of CA ligament transposition | Acute group (mean follow-up 46 months) and chronic group (mean follow-up 51 months) | The results were satisfactory in 81% of patients treated in the acute phase and in 79% of patients treated in the chronic phase, with no significant differences |