Acromioclavicular Reconstruction Augmented with Polydioxanonsulphate Bands

Author:

Hessmann Martin1,Gotzen Leo1,Gehling Hermann1

Affiliation:

1. Department for Traumatology, Philipps-University, Marburg, Germany

Abstract

During a 5.5-year period, we treated 64 patients with acute acromioclavicular separations by surgical recon struction. According to the classification of Rockwood and Matsen, 54 patients had type III lesions, 1 patient had a type IV lesion, and 9 patients had type V lesions. Both the coracoclavicular ligaments and the ligaments of the acromioclavicular joint were reconstructed. An additional ligamentous augmentation was performed using completely resorbable 5- and 10-mm polydiox anonsulphate bands. Forty-five patients (70%) were re- examined at 2 to 7.5 years after surgery (mean, 32 months). The results were good or excellent in 40 cases (89%). Forty-one patients (92%) achieved a range of motion with an abduction deficit of less than 20°. Cal cifications in the area of the coracoclavicular or acro mioclavicular ligaments did not affect the final range of motion. Complications consisted of one subcutaneous infection, one deep infection, and one failure of the re construction. Augmenting the reconstruction with poly dioxanonsulphate bands allowed an early functional postoperative treatment. With this procedure, patients do not require removal of an implant, and complications from breakage or migration of metal implants are avoided.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference19 articles.

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4. Freudenschuss B., Boszotta H., Helperstorfer W. Ergebnisse nach operativer Stabilisierung des zernssenen Schultereckgelenkes Unfallchirurg 94. 95-98, 1991

5. Galpin RD, Hawkins RJ, Grainger RW A comparative analysis of operative versus nonoperative treatment of Grade III acromioclavicular separations Clin Orthop 193 150-155, 1985

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