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[Minimally Invasive Acromioclavicular Joint Reconstruction (MINAR)]
Wolf Petersen1, Mathias Wellmann, Steffen Rosslenbroich
1Klinik für Orthopädie und Unfallchirurgie, Martin-Luther-Krankenhaus, Berlin-Grunewald, Germany. w.petersen@mlk-berlin.de
Operative Orthopadie Und Traumatologie
|March 30, 2010
Summary
This study demonstrates the effectiveness of a minimally invasive button/suture augmentation cerclage for treating acromioclavicular joint dislocations. The technique offers a safe and reliable method for reducing and retaining these injuries, leading to excellent patient outcomes.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Surgical techniques
Context:
- Acromioclavicular (AC) joint dislocations, particularly Rockwood types III and V, present significant challenges in orthopedic practice.
- Chronic instabilities and associated lateral clavicular fractures with coracoclavicular ligament rupture require effective stabilization methods.
Purpose:
- To evaluate the efficacy and safety of a button/suture augmentation cerclage (Flip tack) for the reduction and retention of AC joint dislocations.
- To assess the outcomes of this minimally invasive technique in patients with acute and chronic AC joint instabilities.
Summary:
- A minimally invasive coracoclavicular cerclage technique using a button/suture augmentation was employed in 23 patients with AC joint dislocations (Rockwood III and V).
- The procedure involved drilling the coracoid process and clavicle, passing the suture cerclage with buttons, and securing the joint after reduction.
- Mean operative time was 28.6 minutes, with no major postoperative complications reported. Patients achieved a mean Constant Score of 94.1 at 23.3 months, with minimal loss of reposition in two cases.
Impact:
- This button/suture cerclage technique provides a safe and effective solution for AC joint dislocations, offering excellent functional recovery and patient satisfaction.
- The minimally invasive approach reduces operative time and minimizes the risk of complications, making it a valuable option in orthopedic surgery.
