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Risk for Fracture with Acromioclavicular Joint Reconstruction and Strategies for Mitigation
Nikolaos Platon Sachinis1, Knut Beitzel2
1First Orthopaedic Department of Aristotle University of Thessaloniki, "Georgios Papanikolaou" Hospital, Exohi, 57010, Thessaloniki, Greece.
Abstract:
Acromioclavicular (AC) joint injuries are a common cause of shoulder pain, especially among athletes. Surgical reconstruction of the AC joint can lead to complications such as fracture of the coracoid process, clavicle or acromion, which can negatively affect the patient's outcome. The purpose of this review is to discuss the risk factors for fractures associated with AC joint reconstruction, as well as the strategies that can be used to mitigate this risk. Risk factors for fractures include low mineral density, coracoid/clavicle drilling, larger holes in the coracoid, and the number of tunnels used for reconstruction.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Assessment:
1. Clinical Evaluation:
History: