Why does minimally invasive coracoclavicular ligament reconstruction using a flip button repair technique fail? An analysis of risk factors and complications
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| 024 | 7 | 0 | |a 10.1007/s00167-013-2737-z |2 doi |
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| 245 | 0 | 0 | |a Why does minimally invasive coracoclavicular ligament reconstruction using a flip button repair technique fail? An analysis of risk factors and complications |h [Elektronische Daten] |c [Benedikt Schliemann, Steffen Roßlenbroich, Kristian Schneider, Christina Theisen, Wolf Petersen, Michael Raschke, André Weimann] |
| 520 | 3 | |a Purpose: Aim of the present study was to evaluate the risk factors for the failure of coracoclavicular ligament reconstruction using a flip button repair technique and to analyse complications related to this procedure. Methods: Seventy-one patients (3 female, 68 male) underwent surgical treatment using a flip button repair technique for an acute acromioclavicular joint dislocation. The following factors and its impact on clinical and radiographic outcome were assessed: age at trauma, interval between trauma and surgery, degree of displacement (according to Rockwood's classification), coracoid button position, button migration and post-operative appearance of ossifications. Results: Sixty-three patients were available for follow-up. The overall Constant score was 95.2 points (range 61-100 points) compared to 97 points (range 73-100 points) for the contralateral side (p=0.05). Nine patients (14.3%) needed surgical revision. Inappropriate positioning of the coracoid bone tunnel with subsequent button dislocation was the most frequently observed mode of failure (6 cases, 9.5%). Button migration into the clavicle was associated with loss of reduction (p=0.02). The patient's age at the time of trauma had a significant impact on the clinical outcome, whereas younger patients achieved better results (p=0.02). The interval between trauma and surgery did not significantly affect the outcome (n.s.). Conclusion: Good to excellent clinical results can be achieved with the presented surgical technique. The age of the patient at trauma had a significant influence on the functional outcome. Furthermore, placement of the coracoid button centrally under the coracoid base is crucial to prevent failure. Level of evidence: IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2013 | ||
| 690 | 7 | |a Acromioclavicular joint dislocation |2 nationallicence | |
| 690 | 7 | |a Coracoclavicular ligaments |2 nationallicence | |
| 690 | 7 | |a Rockwood's classification |2 nationallicence | |
| 690 | 7 | |a Coracoclavicular ligament augmentation |2 nationallicence | |
| 700 | 1 | |a Schliemann |D Benedikt |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | |
| 700 | 1 | |a Roßlenbroich |D Steffen |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | |
| 700 | 1 | |a Schneider |D Kristian |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | |
| 700 | 1 | |a Theisen |D Christina |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | |
| 700 | 1 | |a Petersen |D Wolf |u Department of Orthopaedics and Trauma Surgery, Martin-Luther Hospital, Caspar-Theyß-Straße 27-31, 14193, Berlin, Germany |4 aut | |
| 700 | 1 | |a Raschke |D Michael |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | |
| 700 | 1 | |a Weimann |D André |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/5(2015-05-01), 1419-1425 |x 0942-2056 |q 23:5<1419 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-013-2737-z |q text/html |z Onlinezugriff via DOI |
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| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-013-2737-z |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Schliemann |D Benedikt |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Roßlenbroich |D Steffen |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Schneider |D Kristian |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Theisen |D Christina |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Petersen |D Wolf |u Department of Orthopaedics and Trauma Surgery, Martin-Luther Hospital, Caspar-Theyß-Straße 27-31, 14193, Berlin, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Raschke |D Michael |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Weimann |D André |u Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/5(2015-05-01), 1419-1425 |x 0942-2056 |q 23:5<1419 |1 2015 |2 23 |o 167 | ||