A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft
Various surgical techniques have been described for the fixation of acromioclavicular (AC) dislocations. However, recurrent dislocation is one of the main complications associated with the majority of these techniques. We report a case of postoperative AC joint redislocation. In order to overcome re...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5457625 |
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| _version_ | 1832556080423501824 |
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| author | Patrick Holweg Wolfgang Pichler Gerald Gruber Ellen Tackner Franz Josef Seibert Patrick Sadoghi Gloria Hohenberger |
| author_facet | Patrick Holweg Wolfgang Pichler Gerald Gruber Ellen Tackner Franz Josef Seibert Patrick Sadoghi Gloria Hohenberger |
| author_sort | Patrick Holweg |
| collection | DOAJ |
| description | Various surgical techniques have been described for the fixation of acromioclavicular (AC) dislocations. However, recurrent dislocation is one of the main complications associated with the majority of these techniques. We report a case of postoperative AC joint redislocation. In order to overcome recurrent dislocation after revision surgery, a reconstruction of the conoid and trapezoid ligament with the use of a free tendon graft in combination with a FiberTape was provided within a novel surgical technique. After 12 months, the patient was very satisfied with the functional outcome. The patient achieved excellent results in the Constant (98 points), SPADI (0 points), and QuickDASH score (0 points). The described technique results in an anatomic reconstruction of the AC joint. The nonrigid nature of the intervention seems to restore the normal arthrokinematics by reconstructing the coracoclavicular ligaments with an autograft which is then protected by the AC Dog Bone artificial ligaments during the healing period. The arthroscopic approach to the AC joint with minimal exposure reduces the risks and complications of the intervention. This is the first case in literature that utilizes the artificial dog bone ligament securing the autograft in an anatomic AC reconstruction. |
| format | Article |
| id | doaj-art-a05b1a31f63c470a8ba6ade89243e5ab |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a05b1a31f63c470a8ba6ade89243e5ab2025-02-03T05:46:26ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/54576255457625A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon GraftPatrick Holweg0Wolfgang Pichler1Gerald Gruber2Ellen Tackner3Franz Josef Seibert4Patrick Sadoghi5Gloria Hohenberger6Department of Trauma Surgery, Medical University of Graz, Graz, AustriaDepartment of Trauma Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Trauma Surgery, Medical University of Graz, Graz, AustriaDepartment of Trauma Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Trauma Surgery, Medical University of Graz, Graz, AustriaVarious surgical techniques have been described for the fixation of acromioclavicular (AC) dislocations. However, recurrent dislocation is one of the main complications associated with the majority of these techniques. We report a case of postoperative AC joint redislocation. In order to overcome recurrent dislocation after revision surgery, a reconstruction of the conoid and trapezoid ligament with the use of a free tendon graft in combination with a FiberTape was provided within a novel surgical technique. After 12 months, the patient was very satisfied with the functional outcome. The patient achieved excellent results in the Constant (98 points), SPADI (0 points), and QuickDASH score (0 points). The described technique results in an anatomic reconstruction of the AC joint. The nonrigid nature of the intervention seems to restore the normal arthrokinematics by reconstructing the coracoclavicular ligaments with an autograft which is then protected by the AC Dog Bone artificial ligaments during the healing period. The arthroscopic approach to the AC joint with minimal exposure reduces the risks and complications of the intervention. This is the first case in literature that utilizes the artificial dog bone ligament securing the autograft in an anatomic AC reconstruction.http://dx.doi.org/10.1155/2017/5457625 |
| spellingShingle | Patrick Holweg Wolfgang Pichler Gerald Gruber Ellen Tackner Franz Josef Seibert Patrick Sadoghi Gloria Hohenberger A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft Case Reports in Medicine |
| title | A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft |
| title_full | A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft |
| title_fullStr | A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft |
| title_full_unstemmed | A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft |
| title_short | A Novel Surgical Technique for Fixation of Recurrent Acromioclavicular Dislocations: AC Dog Bone Technique in Combination with Autogenous Semitendinosus Tendon Graft |
| title_sort | novel surgical technique for fixation of recurrent acromioclavicular dislocations ac dog bone technique in combination with autogenous semitendinosus tendon graft |
| url | http://dx.doi.org/10.1155/2017/5457625 |
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