Authors :
Dr. Sudheer Kumar P.; Dr. Suman NV.; Dr. Naveen Kumar S.; Dr. Arun KN; Dr. Sagar G; Dr. Syed Nasequddin; Dr. Prashant Kumar; Dr. Mohan Patil C.
Volume/Issue :
Volume 9 - 2024, Issue 7 - July
Google Scholar :
https://tinyurl.com/mvzp9x99
Scribd :
https://tinyurl.com/5xxunzcv
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24JUL1584
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
The Percutaneous double endobutton
approach is increasingly used for complete
acromioclavicular (AC) joint dislocation repair. This
abstract summarizes its functional outcomes,
emphasizing restored stability, pain relief, improved
range of motion, and high rates of return to pre-injury
activities. With low complication rates and favorable
long-term results reported, the technique proves effective
in managing AC joint dislocations, offering patients a
reliable path to functional recovery and satisfaction.
Materials
This study encompasses 10 cases of complete
acromioclavicular joint disruption treated at the
Department of Orthopedics, Navodaya Medical College
& Hospital, Raichur, from August 2022 to June 2024.
Results
In our prospective study spanning 22 months, the
average surgical duration was notably shorter compared
to alternative procedures. Additionally, we observed a
swifter return of patients to their normal activities.
Conclusion
Percutaneous fixation for ACJ injuries is a safe and
effective treatment. It provides good results for function
and appearance. Our study involves a limited number of
cases, and further research is needed to establish it as a
novel technique.
References :
- Beris A, Lykissas M, Kostas-Agnantis I, Vekris M, Mitsionis G, Korompilias A. Management of acute acromioclavicular joint dislocation with a double-button fixation system. Injury. 2013 ; 44 : 288-92
- Venjakob AJ, Salzmann GM, Gabel F, Buchmann S, Walz L, Spang JT, et al. Arthroscopically assisted 2-bundle anatomic reduction of acute acromioclavicular joint separations : 58-month findings. Am J Sports Med 2013 ; 41 : 615-21.
- Rockwood CA Jr. Injuries to the acromioclavicular joint. In: Rockwood CA Jr, Green DP, editors. Fractures in adults. Vol. 1, 2nd ed. Philadelphia: JB Lippincott; 1984. p. 860–910, 974–82.
- Collins DN. Disorders of the acromioclavicular joint. In: Rockwood CA Jr, Matsen FA III, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, editors. The shoulder. Vol. 4, 4th ed. Philadelphia: Saunders Elsevier 2009. p. 453–526.
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- Press J, Zuckerman JD, Gallagher M, Cuomo F. Treatment of grade III acromioclavicular separations. Operative versus non operative management. Bull Hosp Jt Dis. 1997;56:77e83.
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- Beitzel K, Obopilwe E, Chowaniec DM, et al. Biomechanical comparison of arthroscopic repairs for acromioclavicular joint instability, suture button systems without biological augmentation. Am J Sports Med. 2011;39(10): 2218e2225.
- Acar MA, Gulec A, Erkocak OF, Yilmaz G, Durgut F, Elmadag M. Percutanous double-button fixation method for treatment of acute type III acromioclavicular joint dislocation. Acta OrthopTraumatol Turcica. 2015;49(3):241e248.
- Tischer T, Salzmann GM, El-Azab H, Vogt S, Imhoff AB. Incidence of associated injuries with acute acromioclavicular joint dislocations types III through V. Am J Sports Med. 2009;37(1):136e139.
- Beitzel K, Obopilwe E, Apostolakos J, et al. Rotational and translational stability of different methods for direct acromioclavicular ligament repair in anatomic acromioclavicular joint reconstruction. Am J Sports Med. 2014;42:2141e2148.
- Gonzalez- Lomas G, Javidan P, Lin T, Adamson GJ, Limpisvasti O, Lee TQ. Intramedullary acromioclavicular ligament reconstruction strengthens isolated coracoclavicular ligament reconstruction in acromioclavicular dislocations. Am J Sports Med. 2010;38(10):2113e2122.
- Abrams GD, McGarry MH, Jain NS, et al. Biomechanical evaluation of a coracoclavicular and acromioclavicular ligament reconstruction technique utilizing a single continuous intramedullary free tendon graft. J Shoulder Elbow Surg. 2013;22:979e985.
- Barth J, Duparc F, Andrieu K, et al. Is coracoclavicular stabilisation alone sufficient for the endoscopic treatment of severe acromioclavicular joint dislocation (Rockwood types III, IV, and V)? OrthopTraumatol Surg Res. 2015;101(8 Suppl):S297eS303
- Beris A, Lykissas M, Kostas-Agnantis I, Vekris M, Mitsionis G, Korompilias A. Management of acute acromioclavicular joint dislocation with a double-button fixation system. Injury. 2013;44:288e292.
- Defoort S, Verborgt O. Functional and radiological outcome after arthroscopic and open acromioclavicular stabilization using a double-button fixation system. Acta Orthop Belg. 2010;76:585e5.
- DeBerardino TM, Pensak MJ, Ferreira J, Mazzocca AD. Arthroscopic stabilisation of acromioclavicular joint dislocation using the AC graftrope system. J Shoulder Elbow Surg. 2010;19:47e52.
- Acar MA, Güleç A, Erkoçak ÖF, Yılmaz G, Durgut F, Elmadağ M. Percutaneous double-button fixation method for treatment of acute type III acromioclavicular joint dislocation. Acta OrthopTraumatolTurc. 2015;49(3):241-8. doi: 10.3944/AOTT.2015.14.0230. PMID: 26200401.
The Percutaneous double endobutton
approach is increasingly used for complete
acromioclavicular (AC) joint dislocation repair. This
abstract summarizes its functional outcomes,
emphasizing restored stability, pain relief, improved
range of motion, and high rates of return to pre-injury
activities. With low complication rates and favorable
long-term results reported, the technique proves effective
in managing AC joint dislocations, offering patients a
reliable path to functional recovery and satisfaction.
Materials
This study encompasses 10 cases of complete
acromioclavicular joint disruption treated at the
Department of Orthopedics, Navodaya Medical College
& Hospital, Raichur, from August 2022 to June 2024.
Results
In our prospective study spanning 22 months, the
average surgical duration was notably shorter compared
to alternative procedures. Additionally, we observed a
swifter return of patients to their normal activities.
Conclusion
Percutaneous fixation for ACJ injuries is a safe and
effective treatment. It provides good results for function
and appearance. Our study involves a limited number of
cases, and further research is needed to establish it as a
novel technique.