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Chronic acromioclavicular joint dislocations treated by the GraftRope device
Jonas S Nordin1, Knut E Aagaard, Karl Lunsjö
1Department of Orthopedics , Helsingborg Hospital , Sweden.
Acta Orthopaedica
|October 18, 2014
Summary
The GraftRope method for chronic acromioclavicular joint dislocations showed a high complication rate, with 50% of patients experiencing loss of reduction. This study cannot recommend GraftRope for treating these shoulder injuries.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Shoulder reconstruction
Background:
- Chronic acromioclavicular (AC) joint dislocations present surgical challenges with no definitive gold standard.
- The GraftRope method was introduced in 2010 with promising initial results.
Purpose of the Study:
- To prospectively evaluate the clinical outcomes and complication rates of the GraftRope method for chronic AC joint dislocations.
Main Methods:
- Eight patients with chronic Rockwood type III-V AC joint dislocations underwent surgical repair using the GraftRope method.
- Clinical evaluations and CT scans were performed to assess repair integrity and outcomes.
Main Results:
- Four out of eight patients experienced loss of reduction within six weeks post-surgery.
- Complications included coracoid fractures (3 cases) and graft failure (1 case).
- Three patients with intact repairs showed excellent outcomes at 12 months.
Conclusions:
- The high complication rate led to premature discontinuation of the study.
- The GraftRope method is not recommended for treating chronic acromioclavicular joint dislocations based on these findings.
