BiPOD arthroscopically assisted bidirectional stabilisation technique for high-grade acromioclavicular joint injury: two-year clinical and radiological outcomes

Abstract Purpose The purpose of this study was to evaluate the intermediate-term clinical and radiological outcomes for acute, unstable acromioclavicular joint (ACJ) injuries treated with the arthroscopically assisted BiPOD stabilisation technique. Methods Twenty-three patients who sustained acute, unstable ACJ injuries were included in this prospective study. We recorded demographics, injury classification, time to surgery, clinical scores, radiological outcomes and complications; each patient completed a minimum of 2 years post-operative observation. Results Mean follow-up was 26 months (range, 24—34). Clinical outcomes scores demonstrated good 2-year results: relative Constant score, 97.9/100; ACJ Index, 89.4/100; Subjective Shoulder Value, 92.4/100 and Taft = 11.1/12. Final C–C distance showed a mean of 0.7 mm (SD ± 1.8 mm) at 2 years. Complication rate was 9%. Conclusion The BiPOD technique shows excellent, reliable intermediate-term results with a favourable complication rate compared to existing techniques; it provides a comprehensive surgical option for the stabilisation of acute ACJ injuries restoring both vertical and horizontal stability.

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A long term functional and radiological outcome assessment study of management of high grade acromioclavicular joint injury

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20204584 ◽

2020 ◽

Vol 6 (6) ◽

pp. 1199

Author(s):

Rajesh Goel ◽

Anand Bhushan ◽

Sandeep Kumar ◽

Mohit Kumar

Keyword(s):

Acromioclavicular Joint ◽

Constant Score ◽

Fixation Method ◽

Acromioclavicular Joint Dislocation ◽

Joint Injury ◽

Prospective Longitudinal Study ◽

Study Results ◽

Significant Difference ◽

Prospective Longitudinal

Background: Acromioclavicular joint dislocation (ACD) of Rockwood types III and above require surgical intervention. We used a unique technique for CC interval fixation using endobutton with two separate small incisions, which did not need dissection through the joint at all. It replaces the anatomical course of conoid and trapezoid part of the CC ligament. The purpose of the present study was to describe an innovative method of fixation and evaluate its functional outcome using subjective as well as objective measures. We aimed to determine whether this fixation method could be an optimal alternative to address this injury.Methods: A total of 24 patients were enrolled for this prospective longitudinal study. Coraco-clavicular distance was calculated radiologically preoperatively and at the final follow up. Clinically, the final outcome was assessed using the Shoulder Constant score and visual analogue scale (VAS) for residual pain at the final follow up.Results: There was no statistically significant difference between the two shoulders and results were considered as an excellent in terms of constant shoulder score. The VAS was 0.42 (0-1) at final follow-up. The coraco-clavicular distance (CC) reduced significantly postoperatively and was comparable to the contralateral side.Conclusions: Our study results suggested that this is a simple, safe and effective technique which needed minimal dissection.

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Severe heterotopic ossifications after Rockwood type II acromioclavicular joint injury: a case report

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-015-2383-7 ◽

2016 ◽

Vol 136 (3) ◽

pp. 381-388 ◽

Cited By ~ 5

Author(s):

Rusdi Abdullah ◽

Hani Eltair ◽

Andreas B. Imhoff ◽

Stefan Buchmann

Keyword(s):

Case Report ◽

Acromioclavicular Joint ◽

Type Ii ◽

Joint Injury ◽

Heterotopic Ossifications ◽

Acromioclavicular Joint Injury

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Acromioclavicular joint injury

10.53347/rid-843 ◽

2008 ◽

Author(s):

Daniel Bell ◽

Frank Gaillard

Keyword(s):

Acromioclavicular Joint ◽

Joint Injury ◽

Acromioclavicular Joint Injury

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BIOMECHANICAL COMPARATIVE STUDY BETWEEN TENSION BAND WIRING, DOUBLE ENDO BUTTON AND HOOK PLATE FOR ACROMIOCLAVICULAR JOINT INJURY

(JOINTS) Journal Orthopaedi and Traumatology Surabaya ◽

10.20473/joints.v7i1.2018.65-76 ◽

2019 ◽

Vol 7 (1) ◽

pp. 65

Author(s):

Erwin Ramawan ◽

Jifaldi Afrian MDS

Keyword(s):

Acromioclavicular Joint ◽

Scientific Basis ◽

Tension Band ◽

Tension Band Wiring ◽

Hook Plate ◽

Joint Injury ◽

Joint Reconstruction ◽

Ac Joint Reconstruction ◽

Acromioclavicular Joint Injury

Background: The treatment for acromioclavicular joint injury are debatable, there are fixation options include tension band wiring, AC joint reconstruction and hook plate These fixations are capable of providing a stable fixation, but controversy still exists that mentions the superiority of each of these fixationsPurpose: To compare biomechanical stability of 3 fixation include tension band wiring, double endo button, and hook plate to provide a scientific basis of the fixation.Methods: This research is an experimental in vitro. Using 27 acromioclavicular joints cadaver divided into three groups that performed tension band wiring fixation, double endo button and hook plate. Each fixation evaluated with 10, 20, 50 and 100 times repetitions with 100N traction force.Results: Tension band wiring gives the smallest displacement. In 10 times repetition average displacement of tension band wiring 0.056 mm (p = 0.000) compared to double endo button 1.622 mm and hook plate 0.867 mm. In 20 times repetitions, tension band wiring 0.1667 mm (p = 0,000) compared to double endo button 3.1778 mm and hook plate 1.1111 mm. In 50 times repetition, tension band wiring 0.3111 mm (p = 0.000) with double endo button 4.7778 mm and hook plate 1.3556 mm. In 100 times repetitions, tension band wire 0.556 mm (p = 0.000) while double endo button 5.4444 mm and hook plate 1.4556 mm.Conclusion: Tension band wiring have a good stability compared to double endo button and hook plate. But all of fixation provide stability for acriomioclavicular joint motion.

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