Ligament Reconstruction and Interposition Arthroplasty of the Acromioclavicular Joint

Distal clavicle excision (DCE) for acromioclavicular (AC) joint primary osteoarthritis and post-traumatic arthritis has been shown to have good to excellent outcomes. However, there are studies that report significant rates of residual AC joint pain and distal clavicle instability after open and art...

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Bibliographic Details
Published inTechniques in hand & upper extremity surgery Vol. 27; no. 1; p. 49
Main Authors Patel, Shaan S, Piggott, Robert P, Spasojevic, Milos, Hughes, Jeff S
Format Journal Article
LanguageEnglish
Published United States 01.03.2023
Subjects
Acromioclavicular Joint - surgery
Arthralgia - surgery
Arthroplasty - methods
Clavicle - surgery
Humans
Ligaments - surgery
Osteoarthritis - surgery
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Summary:Distal clavicle excision (DCE) for acromioclavicular (AC) joint primary osteoarthritis and post-traumatic arthritis has been shown to have good to excellent outcomes. However, there are studies that report significant rates of residual AC joint pain and distal clavicle instability after open and arthroscopic techniques. We describe a surgical technique for management of AC joint primary osteoarthritis, post-traumatic arthritis, and revision DCE that involves DCE with ligament reconstruction and tendon interposition arthroplasty. It provides distal clavicle stability and can theoretically reduce residual AC joint pain secondary to acromial abutment after DCE.
ISSN:1531-6572
DOI:10.1097/BTH.0000000000000409