The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review
Purpose Treatment of failed primary reconstruction of the unstable acromioclavicular (AC) joint remains challenging for orthopaedic surgeons. When approaching revision cases, the reason for failure has to be precisely identified. The purpose of this manuscript was to perform a critical review of the...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2019-12, Vol.27 (12), p.3844-3855 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Dyrna, Felix Berthold, Daniel P. Feucht, Matthias J. Muench, Lukas N. Martetschläger, Frank Imhoff, Andreas B. Mazzocca, Augustus D. Beitzel, Knut |
| description | Purpose
Treatment of failed primary reconstruction of the unstable acromioclavicular (AC) joint remains challenging for orthopaedic surgeons. When approaching revision cases, the reason for failure has to be precisely identified. The purpose of this manuscript was to perform a critical review of the literature regarding treatment options for failed AC joint stabilization techniques and to provide a treatment algorithm for salvage procedures.
Methods
A thorough search included electronic databases for articles published up to April 15th, 2019. Inclusion criteria were set as (1) studies that reported on clinical outcomes following surgical or conservative treatment of AC joint dislocation; (2) studies reporting on failure or complications of primary treatment; (3) chronic instabilities caused by delayed or secondary treatment as well as (4) revision and salvage procedures.
Results
The search strategy identified a total of 3269 citations. The final dataset comprised 84 studies published between 1954 and 2019. A total of 5605 patients (9.63% females) were involved with a mean age of 34.5 years. Overall, complication rates varied between 5 and 88.9% in patients with AC joint instability.
Conclusion
In the current literature, evidence for treatment of revision AC joint instability is still lacking, however, surgical treatment continues to evolve. The importance of failure analysis and clinically relevant algorithms were highlighted in this review. Adequately restoring native joint biomechanics is needed for ensuring an optimal healing environment that will translate into patient satisfaction and long-term stability.
Level of evidence
V. |
| doi_str_mv | 10.1007/s00167-019-05742-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2307152511</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2316972482</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-b8f442df6e6512ece1558c934ef608da98d0c14660f0f917b580377bb246c2093</originalsourceid><addsrcrecordid>eNp9kUtv1TAQhS0EoreFP8ACWWLDJjB-x-xQxUuqxKasLcd30voqsYOdtCq_HtNbQGLByiP7O2fGcwh5weANAzBvKwDTpgNmO1BG8k4_IjsmheiMkOYx2YFtlxyUPiGntR4AWintU3IimObSAt-RdHmNNM5LLqtPAWke6RDzjOHapxj8RJeSFyxrxEpjogVvYo05UR9KnmMOk7-JYZt8oYcc00rr6oc4xR9-bdQ76mkNeYnp6l6Jt8_Ik9FPFZ8_nGfk28cPl-efu4uvn76cv7_ogjBq7YZ-lJLvR41aMY4BmVJ9sELiqKHfe9vvITCpNYwwWmYG1YMwZhi41IGDFWfk9dG3jf99w7q6OdaA0-QT5q06LsAwxRVjDX31D3rIW0ltukYxbQ2XPW8UP1Lt37UWHN1S4uzLnWPgfqXhjmm4loa7T8PpJnr5YL0NM-7_SH6vvwHiCNT2lK6w_O39H9ufYhuWCA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2316972482</pqid></control><display><type>article</type><title>The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Dyrna, Felix ; Berthold, Daniel P. ; Feucht, Matthias J. ; Muench, Lukas N. ; Martetschläger, Frank ; Imhoff, Andreas B. ; Mazzocca, Augustus D. ; Beitzel, Knut</creator><creatorcontrib>Dyrna, Felix ; Berthold, Daniel P. ; Feucht, Matthias J. ; Muench, Lukas N. ; Martetschläger, Frank ; Imhoff, Andreas B. ; Mazzocca, Augustus D. ; Beitzel, Knut</creatorcontrib><description>Purpose
Treatment of failed primary reconstruction of the unstable acromioclavicular (AC) joint remains challenging for orthopaedic surgeons. When approaching revision cases, the reason for failure has to be precisely identified. The purpose of this manuscript was to perform a critical review of the literature regarding treatment options for failed AC joint stabilization techniques and to provide a treatment algorithm for salvage procedures.
Methods
A thorough search included electronic databases for articles published up to April 15th, 2019. Inclusion criteria were set as (1) studies that reported on clinical outcomes following surgical or conservative treatment of AC joint dislocation; (2) studies reporting on failure or complications of primary treatment; (3) chronic instabilities caused by delayed or secondary treatment as well as (4) revision and salvage procedures.
Results
The search strategy identified a total of 3269 citations. The final dataset comprised 84 studies published between 1954 and 2019. A total of 5605 patients (9.63% females) were involved with a mean age of 34.5 years. Overall, complication rates varied between 5 and 88.9% in patients with AC joint instability.
Conclusion
In the current literature, evidence for treatment of revision AC joint instability is still lacking, however, surgical treatment continues to evolve. The importance of failure analysis and clinically relevant algorithms were highlighted in this review. Adequately restoring native joint biomechanics is needed for ensuring an optimal healing environment that will translate into patient satisfaction and long-term stability.
Level of evidence
V.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-019-05742-6</identifier><identifier>PMID: 31624902</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acromioclavicular Joint - surgery ; Algorithms ; Biomechanical Phenomena ; Biomechanics ; Complications ; Failure analysis ; Females ; Humans ; Joint Instability - surgery ; Joints (anatomy) ; Literature reviews ; Mechanical properties ; Medicine ; Medicine & Public Health ; Orthopedic Procedures ; Orthopedics ; Patient satisfaction ; Patients ; Reoperation ; Salvage Therapy ; Secondary treatment ; Shoulder ; Stabilization ; Treatment Failure</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019-12, Vol.27 (12), p.3844-3855</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-b8f442df6e6512ece1558c934ef608da98d0c14660f0f917b580377bb246c2093</citedby><cites>FETCH-LOGICAL-c375t-b8f442df6e6512ece1558c934ef608da98d0c14660f0f917b580377bb246c2093</cites><orcidid>0000-0002-4829-7347</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-019-05742-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-019-05742-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31624902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dyrna, Felix</creatorcontrib><creatorcontrib>Berthold, Daniel P.</creatorcontrib><creatorcontrib>Feucht, Matthias J.</creatorcontrib><creatorcontrib>Muench, Lukas N.</creatorcontrib><creatorcontrib>Martetschläger, Frank</creatorcontrib><creatorcontrib>Imhoff, Andreas B.</creatorcontrib><creatorcontrib>Mazzocca, Augustus D.</creatorcontrib><creatorcontrib>Beitzel, Knut</creatorcontrib><title>The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
Treatment of failed primary reconstruction of the unstable acromioclavicular (AC) joint remains challenging for orthopaedic surgeons. When approaching revision cases, the reason for failure has to be precisely identified. The purpose of this manuscript was to perform a critical review of the literature regarding treatment options for failed AC joint stabilization techniques and to provide a treatment algorithm for salvage procedures.
Methods
A thorough search included electronic databases for articles published up to April 15th, 2019. Inclusion criteria were set as (1) studies that reported on clinical outcomes following surgical or conservative treatment of AC joint dislocation; (2) studies reporting on failure or complications of primary treatment; (3) chronic instabilities caused by delayed or secondary treatment as well as (4) revision and salvage procedures.
Results
The search strategy identified a total of 3269 citations. The final dataset comprised 84 studies published between 1954 and 2019. A total of 5605 patients (9.63% females) were involved with a mean age of 34.5 years. Overall, complication rates varied between 5 and 88.9% in patients with AC joint instability.
Conclusion
In the current literature, evidence for treatment of revision AC joint instability is still lacking, however, surgical treatment continues to evolve. The importance of failure analysis and clinically relevant algorithms were highlighted in this review. Adequately restoring native joint biomechanics is needed for ensuring an optimal healing environment that will translate into patient satisfaction and long-term stability.
Level of evidence
V.</description><subject>Acromioclavicular Joint - surgery</subject><subject>Algorithms</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Complications</subject><subject>Failure analysis</subject><subject>Females</subject><subject>Humans</subject><subject>Joint Instability - surgery</subject><subject>Joints (anatomy)</subject><subject>Literature reviews</subject><subject>Mechanical properties</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedic Procedures</subject><subject>Orthopedics</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Reoperation</subject><subject>Salvage Therapy</subject><subject>Secondary treatment</subject><subject>Shoulder</subject><subject>Stabilization</subject><subject>Treatment Failure</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUtv1TAQhS0EoreFP8ACWWLDJjB-x-xQxUuqxKasLcd30voqsYOdtCq_HtNbQGLByiP7O2fGcwh5weANAzBvKwDTpgNmO1BG8k4_IjsmheiMkOYx2YFtlxyUPiGntR4AWintU3IimObSAt-RdHmNNM5LLqtPAWke6RDzjOHapxj8RJeSFyxrxEpjogVvYo05UR9KnmMOk7-JYZt8oYcc00rr6oc4xR9-bdQ76mkNeYnp6l6Jt8_Ik9FPFZ8_nGfk28cPl-efu4uvn76cv7_ogjBq7YZ-lJLvR41aMY4BmVJ9sELiqKHfe9vvITCpNYwwWmYG1YMwZhi41IGDFWfk9dG3jf99w7q6OdaA0-QT5q06LsAwxRVjDX31D3rIW0ltukYxbQ2XPW8UP1Lt37UWHN1S4uzLnWPgfqXhjmm4loa7T8PpJnr5YL0NM-7_SH6vvwHiCNT2lK6w_O39H9ufYhuWCA</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Dyrna, Felix</creator><creator>Berthold, Daniel P.</creator><creator>Feucht, Matthias J.</creator><creator>Muench, Lukas N.</creator><creator>Martetschläger, Frank</creator><creator>Imhoff, Andreas B.</creator><creator>Mazzocca, Augustus D.</creator><creator>Beitzel, Knut</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4829-7347</orcidid></search><sort><creationdate>20191201</creationdate><title>The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review</title><author>Dyrna, Felix ; Berthold, Daniel P. ; Feucht, Matthias J. ; Muench, Lukas N. ; Martetschläger, Frank ; Imhoff, Andreas B. ; Mazzocca, Augustus D. ; Beitzel, Knut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-b8f442df6e6512ece1558c934ef608da98d0c14660f0f917b580377bb246c2093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acromioclavicular Joint - surgery</topic><topic>Algorithms</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Complications</topic><topic>Failure analysis</topic><topic>Females</topic><topic>Humans</topic><topic>Joint Instability - surgery</topic><topic>Joints (anatomy)</topic><topic>Literature reviews</topic><topic>Mechanical properties</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedic Procedures</topic><topic>Orthopedics</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Reoperation</topic><topic>Salvage Therapy</topic><topic>Secondary treatment</topic><topic>Shoulder</topic><topic>Stabilization</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dyrna, Felix</creatorcontrib><creatorcontrib>Berthold, Daniel P.</creatorcontrib><creatorcontrib>Feucht, Matthias J.</creatorcontrib><creatorcontrib>Muench, Lukas N.</creatorcontrib><creatorcontrib>Martetschläger, Frank</creatorcontrib><creatorcontrib>Imhoff, Andreas B.</creatorcontrib><creatorcontrib>Mazzocca, Augustus D.</creatorcontrib><creatorcontrib>Beitzel, Knut</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dyrna, Felix</au><au>Berthold, Daniel P.</au><au>Feucht, Matthias J.</au><au>Muench, Lukas N.</au><au>Martetschläger, Frank</au><au>Imhoff, Andreas B.</au><au>Mazzocca, Augustus D.</au><au>Beitzel, Knut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>27</volume><issue>12</issue><spage>3844</spage><epage>3855</epage><pages>3844-3855</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Treatment of failed primary reconstruction of the unstable acromioclavicular (AC) joint remains challenging for orthopaedic surgeons. When approaching revision cases, the reason for failure has to be precisely identified. The purpose of this manuscript was to perform a critical review of the literature regarding treatment options for failed AC joint stabilization techniques and to provide a treatment algorithm for salvage procedures.
Methods
A thorough search included electronic databases for articles published up to April 15th, 2019. Inclusion criteria were set as (1) studies that reported on clinical outcomes following surgical or conservative treatment of AC joint dislocation; (2) studies reporting on failure or complications of primary treatment; (3) chronic instabilities caused by delayed or secondary treatment as well as (4) revision and salvage procedures.
Results
The search strategy identified a total of 3269 citations. The final dataset comprised 84 studies published between 1954 and 2019. A total of 5605 patients (9.63% females) were involved with a mean age of 34.5 years. Overall, complication rates varied between 5 and 88.9% in patients with AC joint instability.
Conclusion
In the current literature, evidence for treatment of revision AC joint instability is still lacking, however, surgical treatment continues to evolve. The importance of failure analysis and clinically relevant algorithms were highlighted in this review. Adequately restoring native joint biomechanics is needed for ensuring an optimal healing environment that will translate into patient satisfaction and long-term stability.
Level of evidence
V.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31624902</pmid><doi>10.1007/s00167-019-05742-6</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-4829-7347</orcidid></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019-12, Vol.27 (12), p.3844-3855 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Acromioclavicular Joint - surgery Algorithms Biomechanical Phenomena Biomechanics Complications Failure analysis Females Humans Joint Instability - surgery Joints (anatomy) Literature reviews Mechanical properties Medicine Medicine & Public Health Orthopedic Procedures Orthopedics Patient satisfaction Patients Reoperation Salvage Therapy Secondary treatment Shoulder Stabilization Treatment Failure |
| title | The importance of biomechanical properties in revision acromioclavicular joint stabilization: a scoping review |
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