ICJR Interviews: Comparing Reconstruction Techniques for AC Joint Dislocation
A suture-only technique using heavy suture to reconstruct the coracoid may be a better option for repairing acute acromioclavicular (AC) joint dislocations than augmenting the reconstruction with a tendon allograft.
Researchers at The Rothman Institute in Philadelphia, Pennsylvania retrospectively compared the 2 techniques in 56 patients who had grade 3-5 AC joint separations without associated fractures of the distal clavicle or scapula.
Their primary outcome measure was radiographic loss of reduction, and they found it was less likely to occur in patients in the suture-only group. But because of the small sample size, the difference in loss of reduction between the groups was not statistically significant.
Brian Lee, MD, from Kerlan-Jobe Orthopaedic Clinic in Los Angeles, California, was a fellow at The Rothman Institute when this study was undertaken. He said the 2 centers are now teaming up for a prospective trial that willcompare the suture-only and tendon allograft techniques.
Click on the image above to hear Dr. Lee’s comments on the Rothman study, “Complication Rates in the Reconstruction of Acute Acromioclavicular Joint Dislocations” (Paper 532), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.
Producer: Henrik B. Pedersen, MD; Director: Michael Bugera; Post Production: Charles J. Maynard