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Chronic acromioclavicular joint dislocations treated by the GraftRope device

Nordin, Jonas S LU ; Aagaard, Knut E LU and Lunsjö, Karl LU (2015) In Acta orthopaedica 86(2). p.8-225
Abstract

BACKGROUND AND PURPOSE: Surgical treatment of chronic acromioclavicular joint dislocations is challenging, and no single procedure can be considered to be the gold standard. In 2010, the GraftRope method (Arthrex Inc., Naples, FL) was introduced in a case series of 10 patients, showing good clinical results and no complications. We wanted to evaluate the GraftRope method in a prospective consecutive series.

PATIENTS AND METHODS: 8 patients with chronic Rockwood type III-V acromioclavicular joint dislocations were treated surgically using the GraftRope method. The patients were clinically evaluated and a CT scan was performed to assess the integrity of the repair.

RESULTS AND INTERPRETATION: In 4 of the 8 patients, loss of... (More)

BACKGROUND AND PURPOSE: Surgical treatment of chronic acromioclavicular joint dislocations is challenging, and no single procedure can be considered to be the gold standard. In 2010, the GraftRope method (Arthrex Inc., Naples, FL) was introduced in a case series of 10 patients, showing good clinical results and no complications. We wanted to evaluate the GraftRope method in a prospective consecutive series.

PATIENTS AND METHODS: 8 patients with chronic Rockwood type III-V acromioclavicular joint dislocations were treated surgically using the GraftRope method. The patients were clinically evaluated and a CT scan was performed to assess the integrity of the repair.

RESULTS AND INTERPRETATION: In 4 of the 8 patients, loss of reduction was seen within the first 6 weeks postoperatively. A coracoid fracture was the reason in 3 cases and graft failure was the reason in 1 case. In 3 of the 4 patients with intact repairs, the results were excellent with no subjective shoulder disability 12 months postoperatively. It was our intention to include 30 patients in this prospective treatment series, but due to the high rate of complications the study was discontinued prematurely. Based on our results and other recent reports, we cannot recommend the GraftRope method as a treatment option for chronic acromioclavicular joint dislocations.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
Acromioclavicular Joint, Adult, Arthroscopy, Chronic Disease, Cohort Studies, Early Termination of Clinical Trials, Humans, Joint Dislocations, Middle Aged, Prospective Studies, Prosthesis Failure, Prosthesis Implantation, Recurrence, Tomography, X-Ray Computed, Treatment Outcome, Young Adult
in
Acta orthopaedica
volume
86
issue
2
pages
4 pages
publisher
Taylor & Francis
external identifiers
  • scopus:84925956505
ISSN
1745-3682
DOI
10.3109/17453674.2014.976806
language
English
LU publication?
no
id
d617d3d5-bd5b-4305-a926-e026ddfbeef4
date added to LUP
2017-07-06 14:05:57
date last changed
2017-08-27 06:44:11
@article{d617d3d5-bd5b-4305-a926-e026ddfbeef4,
  abstract     = {<p>BACKGROUND AND PURPOSE: Surgical treatment of chronic acromioclavicular joint dislocations is challenging, and no single procedure can be considered to be the gold standard. In 2010, the GraftRope method (Arthrex Inc., Naples, FL) was introduced in a case series of 10 patients, showing good clinical results and no complications. We wanted to evaluate the GraftRope method in a prospective consecutive series.</p><p>PATIENTS AND METHODS: 8 patients with chronic Rockwood type III-V acromioclavicular joint dislocations were treated surgically using the GraftRope method. The patients were clinically evaluated and a CT scan was performed to assess the integrity of the repair.</p><p>RESULTS AND INTERPRETATION: In 4 of the 8 patients, loss of reduction was seen within the first 6 weeks postoperatively. A coracoid fracture was the reason in 3 cases and graft failure was the reason in 1 case. In 3 of the 4 patients with intact repairs, the results were excellent with no subjective shoulder disability 12 months postoperatively. It was our intention to include 30 patients in this prospective treatment series, but due to the high rate of complications the study was discontinued prematurely. Based on our results and other recent reports, we cannot recommend the GraftRope method as a treatment option for chronic acromioclavicular joint dislocations.</p>},
  author       = {Nordin, Jonas S and Aagaard, Knut E and Lunsjö, Karl},
  issn         = {1745-3682},
  keyword      = {Acromioclavicular Joint,Adult,Arthroscopy,Chronic Disease,Cohort Studies,Early Termination of Clinical Trials,Humans,Joint Dislocations,Middle Aged,Prospective Studies,Prosthesis Failure,Prosthesis Implantation,Recurrence,Tomography, X-Ray Computed,Treatment Outcome,Young Adult},
  language     = {eng},
  number       = {2},
  pages        = {8--225},
  publisher    = {Taylor & Francis},
  series       = {Acta orthopaedica},
  title        = {Chronic acromioclavicular joint dislocations treated by the GraftRope device},
  url          = {http://dx.doi.org/10.3109/17453674.2014.976806},
  volume       = {86},
  year         = {2015},
}