Kinematic and Radiographic Evaluation of Acromioclavicular Reconstruction with a Synthetic Ligament.


Journal

Advances in orthopedics
ISSN: 2090-3464
Titre abrégé: Adv Orthop
Pays: Egypt
ID NLM: 101565129

Informations de publication

Date de publication:
2022
Historique:
received: 02 03 2022
accepted: 05 05 2022
entrez: 7 6 2022
pubmed: 8 6 2022
medline: 8 6 2022
Statut: epublish

Résumé

The optimal surgical technique for unstable acromioclavicular (AC) and coracoclavicular (CC) joint injuries has not yet been established. The biomechanical and radiographic effect of the LockDown device, a synthetic ligament for AC joint reconstruction, was evaluated to assess the optimal surgical technique for unstable AC and CC joint injuries. It was hypothesized that the LockDown device would restore AC joint kinematics and radiographic stability to near native values. Three fresh frozen cadaveric torsos (6 shoulders) modelled CC joint motion in their "native," "severed," and "reconstructed" states. The effects of stressed and unstressed native, severed, and reconstructed conditions on AC separation and CC distances in anteroposterior, mediolateral, and inferosuperior directions during shoulder abduction, flexion, and scaption were assessed. The analysis of variance ( From radiographic analyses, the CC distance was significantly greater ( Reconstruction of AC joint with LockDown synthetic ligament restores motion of clavicle and acromion to near native values, thereby decreasing scapular dyskinesis and enhancing AC joint stability.

Identifiants

pubmed: 35669699
doi: 10.1155/2022/7144209
pmc: PMC9167124
doi:

Types de publication

Journal Article

Langues

eng

Pagination

7144209

Informations de copyright

Copyright © 2022 Rafael F. Escamilla et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Rafael F Escamilla (RF)

Department of Physical Therapy, California State University, Sacramento, CA, USA.
Andrews Research and Education Foundation, Gulf Breeze, FL, USA.

Chad Poage (C)

Andrews Institute for Orthopaedics & Sports Medicine, Gulf Breeze, FL, USA.

Scott Brotherton (S)

Orthopedic Surgery & Sports Medicine, Palm Harbor, FL, USA.

Toran D MacLeod (TD)

Department of Physical Therapy, California State University, Sacramento, CA, USA.

Charles Leddon (C)

Andrews Research and Education Foundation, Gulf Breeze, FL, USA.

James R Andrews (JR)

Andrews Research and Education Foundation, Gulf Breeze, FL, USA.
Andrews Institute for Orthopaedics & Sports Medicine, Gulf Breeze, FL, USA.

Classifications MeSH