TRIPLE ENDOBUTTON TECHNIQUE FOR REPAIR OF CHRONIC COMPLETE ACROMIOCLAVICULAR JOINTDISLOCATIONS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHU Jianwei ¹ , LIU Fan ¹ , ZHANG Jianhua ² , DONG Qirong ³ , LI Shuai ¹ , SI De. ¹

1Department of Orthopaedics, the Affiliated Hospital of Nantong University, Nantong Jiangsu, 226001, P.R.China;;
2Department of Orthopaedics, the Third People’sHospital of Nantong;;
3Department of Orthopaedics, the Second Affiliated Hospital of Suzhou University.;

Corresponding author：

Keywords：

Acromioclavicular joint dislocation; Coracoclavicular ligament; Endobutton; Joint function reconstruction

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【Abstract】 Objective To evaluate the early result of tri ple Endobutton technique for reconstructing coracoclavicular
ligament of chronic complete acromioclavicular joint dislocations. Methods Between January 2009 and June 2010, 14 patients with chronic complete acromioclavicular joint dislocations were treated with tri ple Endobutton technique for reconstructing coracoclavicular ligament. There were 10 males and 4 females with a mean age of 38.5 years (range,26-52 years). Injury was caused by traffic accident in 7 cases,by falling in 5 cases，and by bruise in 2 cases. The average time was 47 days from injury to the operation (range,29-75 days). All patients had pain and activity restriction. The X-ray films showed complete dislocation of acromioclavicular joint. According to Allman’s type, all cases were classified as III degree complete dislocations. Results At postoperation, wound healed by first intention with no early complication of infection or neurovascular injury. All patients were followed up 18.3 months on average (range,13-30 months). Acromioclavicular joint subluxation occurred in 1 patient at 1 week after operation, and no redislocation or other complication occurred in the other patients. American Shoulder and Elbow Surgeons (ASES) score was 90.8 ± 4.1 at last follow-up, showing significant difference when compared with the preoperative score (65.3 ± 4.4) (t= —17.57，P=0.00); Constant-Murley score was 91.7 ± 3.9, showing significant difference when compared with preoperative one (71.5 ± 4.6) (t=—75.02，P=0.00). The definite answer in Simple Shoulder Test (SST) averaged 9.7 (range,7-12). Conclusion The tri ple Endobutton technique for reconstructing coracoclavicular ligament is an effective method in treatment of chronic complete acromioclavicular joint dislocations. The short-term results are satisfactory.

Citation： ZHU Jianwei,LIU Fan,ZHANG Jianhua,DONG Qirong,LI Shuai,SI De.. TRIPLE ENDOBUTTON TECHNIQUE FOR REPAIR OF CHRONIC COMPLETE ACROMIOCLAVICULAR JOINTDISLOCATIONS. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(2): 201-204. doi: Copy

1.	Richards RR, An KN, Bigliani L, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg, 1994, 3(6): 347-352.
2.	Bearcroft PW, Blanchard TK, Dixon AK, et al. An assessment of the effectiveness of magnetic resonance imaging of the shoulder: literature review. Skeletal Radio, 2000, 29(12): 673-679.
3.	Matsen F III. 肩关节外科学原理与实践. 裴福兴, 黄富国, 译. 北京: 人民卫生出版社, 2009: 3-4.
4.	Bishop JY, Kaeding C. Treatment of the acute traumatic acromioclavivular separation. Sports Med Arthrosc, 2006, 14(4): 237-245.
5.	Chernchujit B, Tischer T, Imhoff AB. Arthroscopic reconstruction of the acromioclavicular joint disruption: surgical technique and preliminary results. Arch Orthop Trauma Surg, 2006, 126(9): 575-581.
6.	Nissen CW, Chatterjee A. Type III acromioclavicular separation: results of a recent survey on its management. Am J Orthop (Belle Mead NJ), 2007, 36(2): 89-93.
7.	Dimakopoulos P, Panagopoulos A, Syggelos SA, et al. Double-loop suture repair for acute acromioclavicular joint disruption. Am J Sports Med, 2006, 34(7): 1112-1119.
8.	陆叶, 陈云丰. 肩锁关节脱位手术治疗中修复重建方式及修复材料的临床应用研究与进展. 中国组织工程研究与临床康复, 2009, 13(42): 8341-8345.
9.	Sloan SM, Budoff JE, Hipp JA, et al. Coracoclavicular ligament reconstruction using the lateral half of the conjoined tendon. J Shoulder Elbow Surg, 2004, 13(2): 186-190.
10.	姜春岩, 朱以明, 王满宜, 等. 联合腱外侧半肌腱反转移位重建喙锁韧带治疗肩锁关节脱位. 中华创伤骨科杂志, 2005, 7(9): 803-807.
11.	MacDonlad P, Sunner P, Dyck M. A follow-up of surgical treatment of type III AC dislocations. Proceeding of the closed ASES meeting, Houston, 2006.
12.	Lee YS, Lau MJ, Tseng YC, et al. Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle. Int Orthop, 2009, 33(5): 1401-1405.
13.	Ejam S, Lind T, Falkenberg B. Surgical treatment of acute and chronic acromioclavicular dislocation Tossy type III and V using the hook plate. Acta Orthop Belg, 2008, 74(4): 441-445.
14.	Struhl S. Double endobutton technique for repair of complete acromioclavicular joint dislocations. Tech Shoulder Elbow Surg, 2007, 8(4): 175-179.
15.	胡敏, 唐浩然, 刘庆, 等. Endobutton 带袢钢板内固定治疗Rockwood Ⅲ型肩锁关节脱位. 中国骨与关节损伤杂志, 2010, 25(10): 900-901.
16.	Tomlinson DP, Altchek DW, Davila J, et al. A modified technique of arthroscopically assisted AC joint reconstruction and preliminary results. Clin Orthop Relat Res, 2008, 466(3): 639-645.
17.	Wellmann M, Zantop T, Petersen W. Minimally invasive coracoclavicular ligament augmentation with a flip button/polydioxanone repair for treatment of total acromioclavicular joint dislocation. Arthroscopy, 2007, 23(10): 1132. e1-5.
18.	Lim YW. Triple endobuttton technique in acromioclavicular joint reduction and reconstruction. Ann Acad Med Singapore, 2008, 37(4): 294-299.

1. Richards RR, An KN, Bigliani L, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg, 1994, 3(6): 347-352.
2. Bearcroft PW, Blanchard TK, Dixon AK, et al. An assessment of the effectiveness of magnetic resonance imaging of the shoulder: literature review. Skeletal Radio, 2000, 29(12): 673-679.
3. Matsen F III. 肩关节外科学原理与实践. 裴福兴, 黄富国, 译. 北京: 人民卫生出版社, 2009: 3-4.
4. Bishop JY, Kaeding C. Treatment of the acute traumatic acromioclavivular separation. Sports Med Arthrosc, 2006, 14(4): 237-245.
5. Chernchujit B, Tischer T, Imhoff AB. Arthroscopic reconstruction of the acromioclavicular joint disruption: surgical technique and preliminary results. Arch Orthop Trauma Surg, 2006, 126(9): 575-581.
6. Nissen CW, Chatterjee A. Type III acromioclavicular separation: results of a recent survey on its management. Am J Orthop (Belle Mead NJ), 2007, 36(2): 89-93.
7. Dimakopoulos P, Panagopoulos A, Syggelos SA, et al. Double-loop suture repair for acute acromioclavicular joint disruption. Am J Sports Med, 2006, 34(7): 1112-1119.
8. 陆叶, 陈云丰. 肩锁关节脱位手术治疗中修复重建方式及修复材料的临床应用研究与进展. 中国组织工程研究与临床康复, 2009, 13(42): 8341-8345.
9. Sloan SM, Budoff JE, Hipp JA, et al. Coracoclavicular ligament reconstruction using the lateral half of the conjoined tendon. J Shoulder Elbow Surg, 2004, 13(2): 186-190.
10. 姜春岩, 朱以明, 王满宜, 等. 联合腱外侧半肌腱反转移位重建喙锁韧带治疗肩锁关节脱位. 中华创伤骨科杂志, 2005, 7(9): 803-807.
11. MacDonlad P, Sunner P, Dyck M. A follow-up of surgical treatment of type III AC dislocations. Proceeding of the closed ASES meeting, Houston, 2006.
12. Lee YS, Lau MJ, Tseng YC, et al. Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle. Int Orthop, 2009, 33(5): 1401-1405.
13. Ejam S, Lind T, Falkenberg B. Surgical treatment of acute and chronic acromioclavicular dislocation Tossy type III and V using the hook plate. Acta Orthop Belg, 2008, 74(4): 441-445.
14. Struhl S. Double endobutton technique for repair of complete acromioclavicular joint dislocations. Tech Shoulder Elbow Surg, 2007, 8(4): 175-179.
15. 胡敏, 唐浩然, 刘庆, 等. Endobutton 带袢钢板内固定治疗Rockwood Ⅲ型肩锁关节脱位. 中国骨与关节损伤杂志, 2010, 25(10): 900-901.
16. Tomlinson DP, Altchek DW, Davila J, et al. A modified technique of arthroscopically assisted AC joint reconstruction and preliminary results. Clin Orthop Relat Res, 2008, 466(3): 639-645.
17. Wellmann M, Zantop T, Petersen W. Minimally invasive coracoclavicular ligament augmentation with a flip button/polydioxanone repair for treatment of total acromioclavicular joint dislocation. Arthroscopy, 2007, 23(10): 1132. e1-5.
18. Lim YW. Triple endobuttton technique in acromioclavicular joint reduction and reconstruction. Ann Acad Med Singapore, 2008, 37(4): 294-299.

Chinese Journal of Reparative and Reconstructive Surgery

TRIPLE ENDOBUTTON TECHNIQUE FOR REPAIR OF CHRONIC COMPLETE ACROMIOCLAVICULAR JOINTDISLOCATIONS

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