Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
free free
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Luggage tag technique of anatomic fixation of displaced acromioclavicular joint separations Baldwin K; Namdari S; Andersen JR; Lee B; Itamura JM; Huffman GRClin Orthop Relat Res 2010[Jan]; 468 (1): 259-65Acromioclavicular joint dislocations are common injuries in active individuals. Most of these injuries may be treated nonoperatively. However, many techniques have been described when surgical management is warranted. A recent biomechanical study favors anatomic reconstruction of the conoid and trapezoid ligaments and the acromioclavicular joint capsule, as opposed to the traditional technique of excision of the lateral end of clavicle and transfer of the coracoacromial ligament to the intramedullary canal of the distal clavicle. We present a modification of the anatomic fixation technique using a luggage tag method, which places a graft under the base of the coracoid. This procedure has been associated with few redisplacements of the distal clavicle, reliable pain relief, and minimal postoperative morbidity. We found the luggage tag technique provides anatomic fixation of the distal clavicle and restoration of coronal and sagittal plane stability to the injured acromioclavicular joint. This procedure should reduce the possibility of coracoid fracture and decreases the risk of hardware complications associated with reconstruction techniques that violate the base of the coracoid process. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.|Acromioclavicular Joint/injuries/*surgery[MESH]|Adult[MESH]|Aged[MESH]|Biomechanical Phenomena[MESH]|Female[MESH]|Humans[MESH]|Joint Dislocations/*surgery[MESH]|Ligaments, Articular/*transplantation[MESH]|Male[MESH]|Middle Aged[MESH]|Orthopedic Procedures/*methods[MESH]|Plastic Surgery Procedures/*methods[MESH]|Retrospective Studies[MESH]|Suture Anchors[MESH]|Tenodesis/instrumentation/*methods[MESH]|Young Adult[MESH] |