Official Journal of the Italian Society of Orthopaedics and Traumatology
From: Management of chronic unstable acromioclavicular joint injuries
Study | n | Technique | Mean follow-up (months) | Rate of complications | Type of complications |
---|---|---|---|---|---|
Tauber et al. [18] | 24 | 12 patients, modified Weaver–Dunn 12 patients, autogenous semitendinosus tendon graft | 37 | 12.5% (3/24) | Semitendinous group, 1 mild loss of reduction. 1 mild hyperesthesia of the saphenous nerve. Weaver–Dunn group, 1 superficial wound infection |
Boileau et al. [25] | 10 | All-arthroscopic Weaver–Dunn–Chuinard procedure with double-button fixation | 12.8 | 20% (2/10) | 1 Superficial infection of the superior portal. 1 lateral migration of the subcoracoid EndoButton |
Carofino et al. [31] | 22 reconstructions in 21 patients. 16 were available for follow-up | Open anatomical CC ligament reconstruction | 21 | 18.75% (3/16) | 1 Persistent ACJ pain. 1 chronic infection, requiring removal of the allograft and latissimus flap coverage. 1 loss of reduction |
Yoo et al. [32] | 13 | Arthroscopically assisted anatomical CC reconstruction with tendon graft | 17 | 23% (3/13) | 3 Loss of reduction. In all patients, mild displacement |
Fraschini et al. [34] | 60 managed surgically and 30 managed conservatively | 30 CC reconstructions with DACRON®, 30 CC reconstructions with LARS® | 15 | 43% (13/30) in the DACRON® group and 3.3% (1/30) in the LARS® group | DACRON® group: 7 recurrences due to neoligament rupture, 4 aseptic separations, 1 clavicle fracture and 1 coracoid fracture. LARS® group: 1 neoligament rupture |
Cook et al. [43] | 10 | Arthroscopic CC ligament reconstruction with GraftRope (Arthrex) plus tendon allograft | 9.7 | 80% (8/10) | 8 Loss of reduction, 4 revision surgeries |