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Knee Surgery, Sports Traumatology, Arthroscopy

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17.10.2019 | SHOULDER

The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review

verfasst von: Felix Dyrna, Daniel P. Berthold, Matthias J. Feucht, Lukas N. Muench, Frank Martetschläger, Andreas B. Imhoff, Augustus D. Mazzocca, Knut Beitzel

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 12/2019

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Abstract

Purpose

Treatment of failed primary reconstruction of the unstable acromioclavicular (AC) joint remains challenging for orthopaedic surgeons. When approaching revision cases, the reason for failure has to be precisely identified. The purpose of this manuscript was to perform a critical review of the literature regarding treatment options for failed AC joint stabilization techniques and to provide a treatment algorithm for salvage procedures.

Methods

A thorough search included electronic databases for articles published up to April 15th, 2019. Inclusion criteria were set as (1) studies that reported on clinical outcomes following surgical or conservative treatment of AC joint dislocation; (2) studies reporting on failure or complications of primary treatment; (3) chronic instabilities caused by delayed or secondary treatment as well as (4) revision and salvage procedures.

Results

The search strategy identified a total of 3269 citations. The final dataset comprised 84 studies published between 1954 and 2019. A total of 5605 patients (9.63% females) were involved with a mean age of 34.5 years. Overall, complication rates varied between 5 and 88.9% in patients with AC joint instability.

Conclusion

In the current literature, evidence for treatment of revision AC joint instability is still lacking, however, surgical treatment continues to evolve. The importance of failure analysis and clinically relevant algorithms were highlighted in this review. Adequately restoring native joint biomechanics is needed for ensuring an optimal healing environment that will translate into patient satisfaction and long-term stability.

Level of evidence

Barth J, Duparc F, Andrieu K, Duport M, Toussaint B, Bertiaux S et al (2015) Is coracoclavicular stabilisation alone sufficient for the endoscopic treatment of severe acromioclavicular joint dislocation (Rockwood types III, IV, and V). Orthop Traumatol Surg Res 101:S297–S303PubMed

Barth J, Duparc F, Baverel L, Bahurel J, Toussaint B, Bertiaux S et al (2015) Prognostic factors to succeed in surgical treatment of chronic acromioclavicular dislocations. Orthop Traumatol Surg Res 101:S305–S311PubMed

Beitzel K, Cote MP, Apostolakos J, Solovyova O, Judson CH, Ziegler CG et al (2013) Current concepts in the treatment of acromioclavicular joint dislocations. Arthroscopy 29:387–397

Beitzel K, Mazzocca AD, Bak K, Itoi E, Kibler WB, Mirzayan R et al (2014) ISAKOS upper extremity committee consensus statement on the need for diversification of the Rockwood classification for acromioclavicular joint injuries. Arthroscopy 30:271–278PubMed

Beitzel K, Obopilwe E, Apostolakos J, Cote MP, Russell RP, Charette R et al (2014) Rotational and translational stability of different methods for direct acromioclavicular ligament repair in anatomic acromioclavicular joint reconstruction. Am J Sports Med 42:2141–2148PubMed

Beitzel K, Obopilwe E, Chowaniec DM, Niver GE, Nowak MD, Hanypsiak BT et al (2011) Biomechanical comparison of arthroscopic repairs for acromioclavicular joint instability: suture button systems without biological augmentation. Am J Sports Med 39:2218–2225PubMed

Beitzel K, Sablan N, Chowaniec DM, Obopilwe E, Cote MP, Arciero RA et al (2012) Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation. Am J Sports Med 40:681–685PubMed

Choi NH, Lim SM, Lee SY, Lim TK (2017) Loss of reduction and complications of coracoclavicular ligament reconstruction with autogenous tendon graft in acute acromioclavicular dislocations. J Shoulder Elbow Surg 26:692–698PubMed

Clavert P, Meyer A, Boyer P, Gastaud O, Barth J, Duparc F (2015) Complication rates and types of failure after arthroscopic acute acromioclavicular dislocation fixation. Prospective multicenter study of 116 cases. Orthop Traumatol Surg Res 101:S313–S316PubMed

10.

Costic RS, Labriola JE, Rodosky MW, Debski RE (2004) Biomechanical rationale for development of anatomical reconstructions of coracoclavicular ligaments after complete acromioclavicular joint dislocations. Am J Sports Med 32:1929–1936PubMed

11.

Debski RE, Parsons IM, Woo SL, Fu FH (2001) Effect of capsular injury on acromioclavicular joint mechanics. J Bone Joint Surg Am 83-a:1344–1351

12.

Di Francesco A, Zoccali C, Colafarina O, Pizzoferrato R, Flamini S (2012) The use of hook plate in type III and V acromio-clavicular Rockwood dislocations: clinical and radiological midterm results and MRI evaluation in 42 patients. Injury 43:147–152PubMed

13.

Dyrna F, de Oliveira CCT, Nowak M, Voss A, Obopilwe E, Braun S et al (2018) Risk of fracture of the acromion depends on size and orientation of acromial bone tunnels when performing acromioclavicular reconstruction. Knee Surg Sports Traumatol Arthrosc 26:275–284PubMed

14.

Dyrna F, Imhoff FB, Haller B, Braun S, Obopilwe E, Apostolakos JM et al (2018) Primary stability of an acromioclavicular joint repair is affected by the type of additional reconstruction of the acromioclavicular capsule. Am J Sports Med 46:3471–3479PubMed

15.

Dyrna FGE, Imhoff FB, Voss A, Braun S, Obopilwe E, Apostolakos JM et al (2018) The integrity of the acromioclavicular capsule ensures physiological centering of the acromioclavicular joint under rotational loading. Am J Sports Med 46:1432–1440PubMed

16.

Edwards SL, Wilson NA, Flores SE, Koh JL, Zhang LQ (2007) Arthroscopic distal clavicle resection: a biomechanical analysis of resection length and joint compliance in a cadaveric model. Arthroscopy 23:1278–1284PubMed

17.

Erak S, Pelletier MH, Woods KR, Smith PN, Walsh WR (2008) Acromioclavicular reconstructions with hamstring tendon grafts: a comparative biomechanical study. J Shoulder Elbow Surg 17:772–778PubMed

18.

Fukuda K, Craig E, An K, Cofield R, Chao E (1986) Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am 68:434–440PubMed

19.

Geaney LE, Beitzel K, Chowaniec DM, Cote MP, Apostolakos J, Arciero RA et al (2013) Graft fixation is highest with anatomic tunnel positioning in acromioclavicular reconstruction. Arthroscopy 29:434–439PubMed

20.

Gokkus K, Saylik M, Atmaca H, Sagtas E, Aydin AT (2016) Limited distal clavicle excision of acromioclavicular joint osteoarthritis. Orthop Traumatol Surg Res 102:311–318PubMed

21.

Grantham C, Heckmann N, Wang L, Tibone JE, Struhl S, Lee TQ (2016) A biomechanical assessment of a novel double endobutton technique versus a coracoid cerclage sling for acromioclavicular and coracoclavicular injuries. Knee Surg Sports Traumatol Arthrosc 24:1918–1924PubMed

22.

Hippensteel K, Brophy R, Smith M, Wright R (2018) Surgical volume and postoperative complications of acromioclavicular joint separations: analysis of the ABOS Part II examination. Am J Sports Med 46:3174–3181PubMed

23.

Imhoff AB, Braun S, Beitzel K (2015) Comments on complications after arthroscopic coracoclavicular reconstruction using a single adjustable loop length suspensory fixation device. Arthroscopy 31:1031–1033PubMed

24.

Klimkiewicz JJ, Williams GR, Sher JS, Karduna A, Des Jardins J, Iannotti JP (1999) The acromioclavicular capsule as a restraint to posterior translation of the clavicle: a biomechanical analysis. J Shoulder Elbow Surg 8:119–124PubMed

25.

Kraus N, Haas NP, Scheibel M, Gerhardt C (2013) Arthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations in a coracoclavicular Double-TightRope technique: V-shaped versus parallel drill hole orientation. Arch Orthop Trauma Surg 133:1431–1440PubMed

26.

Kraus N, Hann C, Minkus M, Maziak N, Scheibel M (2019) Primary versus revision arthroscopically-assisted acromio-and coracoclavicular stabilization of chronic AC-joint instability. Arch Orthop Trauma Surg 139:1101–1109PubMed

27.

LaPrade RF, Hilger B (2005) Coracoclavicular ligament reconstruction using a semitendinosus graft for failed acromioclavicular separation surgery. Arthroscopy 21:1277PubMed

28.

Levac D, Colquhoun H, O’Brien KK (2010) Scoping studies: advancing the methodology. Implement Sci 5:69PubMedPubMedCentral

29.

Lim TK, Oh WK (2019) Intraoperative and postoperative complications after arthroscopic coracoclavicular stabilization. Clin Orthop Surg 11:103–111PubMedPubMedCentral

30.

Ma R, Smith PA, Smith MJ, Sherman SL, Flood D, Li X (2015) Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction. Curr Rev Musculoskelet Med 8:75–82PubMedPubMedCentral

31.

Martetschlager F, Horan MP, Warth RJ, Millett PJ (2013) Complications after anatomic fixation and reconstruction of the coracoclavicular ligaments. Am J Sports Med 41:2896–2903PubMed

32.

Martetschläger F, Kraus N, Scheibel M, Streich J, Venjakob A, Maier D (2019) The diagnosis and treatment of acute dislocation of the acromioclavicular joint. Dtsch Arzteblatt Int 116:89–95

33.

Martetschlager F, Saier T, Weigert A, Herbst E, Winkler M, Henschel J et al (2016) Effect of coracoid drilling for acromioclavicular joint reconstruction techniques on coracoid fracture risk: a biomechanical study. Arthroscopy 32:982–987PubMed

34.

Mazzocca AD, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA (2006) A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med 34:236–246PubMed

35.

Milewski MD, Tompkins M, Giugale JM, Carson EW, Miller MD, Diduch DR (2012) Complications related to anatomic reconstruction of the coracoclavicular ligaments. Am J Sports Med 40:1628–1634PubMed

36.

Modi CS, Beazley J, Zywiel MG, Lawrence TM, Veillette CJ (2013) Controversies relating to the management of acromioclavicular joint dislocations. Bone Joint J 95-B:1595–1602PubMed

37.

Morikawa D, Dyrna F, Cote MP, Johnson JD, Obopilwe E, Imhoff FB et al (2018) Repair of the entire superior acromioclavicular ligament complex best restores posterior translation and rotational stability. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-018-5205-y CrossRefPubMed

38.

Pallis M, Cameron KL, Svoboda SJ, Owens BD (2012) Epidemiology of acromioclavicular joint injury in young athletes. Am J Sports Med 40:2072–2077PubMed

39.

Pandhi NG, Esquivel AO, Hanna JD, Lemos DW, Staron JS, Lemos SE (2013) The biomechanical stability of distal clavicle excision versus symmetric acromioclavicular joint resection. Am J Sports Med 41:291–295PubMed

40.

Rush LN, Lake N, Stiefel EC, Hobgood ER, Ramsey JR, O’Brien MJ et al (2016) Comparison of short-term complications between 2 methods of coracoclavicular ligament reconstruction: a multicenter study. Orthop J Sports Med 4:2325967116658419PubMedPubMedCentral

41.

Saier T, Venjakob AJ, Minzlaff P, Fohr P, Lindell F, Imhoff AB et al (2014) Value of additional acromioclavicular cerclage for horizontal stability in complete acromioclavicular separation: a biomechanical study. Knee Surg Sports Traumatol Arthrosc 23:1498–1505PubMed

42.

Scheibel M, Droschel S, Gerhardt C, Kraus N (2011) Arthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations. Am J Sports Med 39:1507–1516PubMed

43.

Singh B, Mohanlal P, Bawale R (2016) Early failure of coracoclavicular ligament reconstruction using TightRope system. Acta Orthop Belg 82:119–123PubMed

44.

Spencer HT, Hsu L, Sodl J, Arianjam A, Yian EH (2016) Radiographic failure and rates of re-operation after acromioclavicular joint reconstruction: a comparison of surgical techniques. Bone Joint J 98-b:512–518PubMed

45.

Spiegl UJ, Smith SD, Euler SA, Dornan GJ, Millett PJ, Wijdicks CA (2014) Biomechanical consequences of coracoclavicular reconstruction techniques on clavicle strength. Am J Sports Med 42:1724–1730PubMed

46.

Tauber M, Eppel M, Resch H (2007) Acromioclavicular reconstruction using autogenous semitendinosus tendon graft: results of revision surgery in chronic cases. J Shoulder Elbow Surg 16:429–433PubMed

47.

Tauber M, Gordon K, Koller H, Fox M, Resch H (2009) Semitendinosus tendon graft versus a modified Weaver-Dunn procedure for acromioclavicular joint reconstruction in chronic cases: a prospective comparative study. Am J Sports Med 37:181–190PubMed

48.

Tauber M, Valler D, Lichtenberg S, Magosch P, Moroder P, Habermeyer P (2016) Arthroscopic stabilization of chronic acromioclavicular joint dislocations: triple-versus single-bundle reconstruction. Am J Sports Med 44:482–489PubMed

49.

Thangaraju S, Tauber M, Habermeyer P, Martetschlager F (2019) Clavicle and coracoid process periprosthetic fractures as late post-operative complications in arthroscopically assisted acromioclavicular joint stabilization. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05482-7 CrossRefPubMed

50.

Trainer G, Arciero RA, Mazzocca AD (2008) Practical management of grade III acromioclavicular separations. Clin J Sport Med 18:162–166PubMed

51.

Venjakob AJ, Salzmann GM, Gabel F, Buchmann S, Walz L, Spang JT et al (2013) Arthroscopically assisted 2-bundle anatomic reduction of acute acromioclavicular joint separations: 58-month findings. Am J Sports Med 41:615–621PubMed

52.

Voss A, Beitzel K, Alaee F, Dukas A, Herbst E, Obopilwe E et al (2016) A biomechanical analysis of different clavicular tunnel diameters in anatomic acromioclavicular ligament reconstruction. Arthroscopy 32:1551–1557PubMed

53.

Wang D, Bluth BE, Ishmael CR, Cohen JR, Wang JC, Petrigliano FA (2017) Early complications of acromioclavicular joint reconstruction requiring reoperation. Knee Surg Sports Traumatol Arthrosc 25:2020–2024PubMed

54.

Woodmass JM, Esposito JG, Ono Y, Nelson AA, Boorman RS, Thornton GM et al (2015) Complications following arthroscopic fixation of acromioclavicular separations: a systematic review of the literature. Open Access J Sports Med 6:97PubMedPubMedCentral

55.

Yu XB, Li T, Hu W, Chen H, Wu YS, Sun LJ (2019) Position of coracoid button predicts loss of reduction in acromioclavicular joint dislocation patients treated with the suture-button. J Investig Surg. https://doi.org/10.1080/08941939.2019.1593557 CrossRef

56.

Zhang LF, Yin B, Hou S, Han B, Huang DF (2017) Arthroscopic fixation of acute acromioclavicular joint disruption with TightRope: outcome and complications after minimum 2 (2–5) years follow-up. J Orthop Surg (Hong Kong). https://doi.org/10.1177/2309499016684493 CrossRef

Titel: The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review
verfasst von: Felix Dyrna
Daniel P. Berthold
Matthias J. Feucht
Lukas N. Muench
Frank Martetschläger
Andreas B. Imhoff
Augustus D. Mazzocca
Knut Beitzel
Publikationsdatum: 17.10.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 12/2019
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-019-05742-6

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The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review