Surgical management of chronic high-grade acromioclavicular joint dislocations: A systematic review
Journal of Shoulder and Elbow Surgery Jul 29, 2019
Borbas P, et al. - A literature search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines by the researchers in order to systematically review the clinical outcomes of 3 main categories of acromioclavicular joint (ACJ) reconstruction for high-grade chronic instability. A total of 27 studies comprising 590 subjects divided into 1 of 3 groups met the inclusion criteria. The complication rates were comparable among the 3 groups ie,15%, 15% and 17% for nonbiological fixation, for biological reconstruction, and for ligament and/or tendon transfer, with failure rates of 8%, 7%, and 5%, respectively. The mean Constant score was 87.2, 92.4 and 87.4 points for nonbiological fixation (n=89), biological reconstruction (n=86), and ligament and/or tendon transfer (n=49), respectively, in terms of functional outcomes. Hence, all techniques exhibited comparable complication rates, on comparison of the outcomes of 3 various ACJ reconstruction methods. ACJ reconstruction with a tendon graft demonstrated superior outcomes among the level II studies.
Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries