Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction
Purpose Horizontal instability is a common problem after acromioclavicular joint injuries. The aim of this study was to evaluate if there is a difference regarding horizontal stability between an anatomical and a non-anatomical configuration of the double tunnel coraco-clavicular ligament reconstruc...
Gespeichert in:
| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2022-04, Vol.142 (4), p.641-648 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 648 |
|---|---|
| container_issue | 4 |
| container_start_page | 641 |
| container_title | Archives of orthopaedic and trauma surgery |
| container_volume | 142 |
| creator | Schöbel, Tobias Theopold, Jan Fischer, Jean-Pierre Löffler, Sabine Schleifenbaum, Stefan Hepp, Pierre |
| description | Purpose
Horizontal instability is a common problem after acromioclavicular joint injuries. The aim of this study was to evaluate if there is a difference regarding horizontal stability between an anatomical and a non-anatomical configuration of the double tunnel coraco-clavicular ligament reconstruction of the acromioclavicular joint.
Methods
Thirteen acromioclavicular joints of human cadaveric shoulders in ethanol-glycerin fixation were included in the study and underwent cyclic anterior and posterior translational testing at a load of 70 N using an electromechanical uniaxial testing machine. The shoulders were randomly assigned to the following groups: double coraco-clavicular tunnel technique in an anatomical configuration (DCTa) and double coraco-clavicular tunnel technique in an inverse configuration of the anatomical position (DCTb). The dislocation was recorded with a 3D optical measuring system.
Results
The total horizontal displacement (
p
10
= 0.0221;
p
5000
= 0.082) was significantly higher for the non-anatomical reconstruction (DCTb) compared to the anatomical reconstruction (DCTa) after every measured amount of cycles. The increase in displacement for DCTb group was overall higher than the increase in displacement for DCTa group but without significance.
Conclusion
Reconstruction of the CC ligaments in an anatomical configuration with two suture devices results in a significantly higher stability of the AC joint in the horizontal plane than reconstruction of the CC ligaments in a non-anatomical configuration. Based on the results of this biomechanical in vitro study, the use of a double coraco-clavicular reconstruction should focus on an anatomically correct position of the suture devices. |
| doi_str_mv | 10.1007/s00402-021-03894-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8924078</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2516838996</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-bd9b66dba95c37deadce7d7349eccd33225122d0a55351720d3cdbe8b5febeff3</originalsourceid><addsrcrecordid>eNp9kU1vVCEUhomxsePoH3BhSNy4wfJ174WNSdP4lTTpRteEC9wpEwYqH5P0B_i_ZZzaVhfdQHLOe17OywPAG4I_EIyns4IxxxRhShBmQnKEn4EV4YwjJsn4HKywZCMSeCCn4GUpW4wJFRK_AKeMCcH5wFbg13nUNe280QHuXS6twJgi0g9Vk-LiNy3r6lOEaYE2tTm4Xs_aJGSC3nvTgs6wthhdgNWZ6-h_Ngd9hNrk7pMeqbbJxwqz676l5mYOtq_AyaJDca_v7jX48fnT94uv6PLqy7eL80tk-MQrmq2cx9HOWg6GTdZpa9xkJ8alM8YyRulAKLVYDwMbyESxZcbOTszD4ma3LGwNPh59b9q8c3061qyDusl-p_OtStqrfzvRX6tN2ishKceT6Abv7wxy6glLVTtfjAtBR5daUX2BUXQWcuzSd_9Jt6nl2OMpOnZAlJHpoKJHVf-nUrJb7pchWB0oqyNl1SmrP5T7uQZvH8e4H_mLtQvYUVB6K25cfnj7CdvfI_m41Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2639123176</pqid></control><display><type>article</type><title>Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Schöbel, Tobias ; Theopold, Jan ; Fischer, Jean-Pierre ; Löffler, Sabine ; Schleifenbaum, Stefan ; Hepp, Pierre</creator><creatorcontrib>Schöbel, Tobias ; Theopold, Jan ; Fischer, Jean-Pierre ; Löffler, Sabine ; Schleifenbaum, Stefan ; Hepp, Pierre</creatorcontrib><description>Purpose
Horizontal instability is a common problem after acromioclavicular joint injuries. The aim of this study was to evaluate if there is a difference regarding horizontal stability between an anatomical and a non-anatomical configuration of the double tunnel coraco-clavicular ligament reconstruction of the acromioclavicular joint.
Methods
Thirteen acromioclavicular joints of human cadaveric shoulders in ethanol-glycerin fixation were included in the study and underwent cyclic anterior and posterior translational testing at a load of 70 N using an electromechanical uniaxial testing machine. The shoulders were randomly assigned to the following groups: double coraco-clavicular tunnel technique in an anatomical configuration (DCTa) and double coraco-clavicular tunnel technique in an inverse configuration of the anatomical position (DCTb). The dislocation was recorded with a 3D optical measuring system.
Results
The total horizontal displacement (
p
10
= 0.0221;
p
5000
= 0.082) was significantly higher for the non-anatomical reconstruction (DCTb) compared to the anatomical reconstruction (DCTa) after every measured amount of cycles. The increase in displacement for DCTb group was overall higher than the increase in displacement for DCTa group but without significance.
Conclusion
Reconstruction of the CC ligaments in an anatomical configuration with two suture devices results in a significantly higher stability of the AC joint in the horizontal plane than reconstruction of the CC ligaments in a non-anatomical configuration. Based on the results of this biomechanical in vitro study, the use of a double coraco-clavicular reconstruction should focus on an anatomically correct position of the suture devices.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-021-03894-0</identifier><identifier>PMID: 33884453</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acromioclavicular Joint - injuries ; Acromioclavicular Joint - surgery ; Arthroplasty, Replacement ; Arthroscopy and Sports Medicine ; Biomechanical Phenomena ; Biomechanics ; Cadaver ; Clavicle - injuries ; Humans ; Injuries ; Joint Dislocations - surgery ; Ligaments ; Ligaments, Articular - surgery ; Medicine ; Medicine & Public Health ; Orthopedics ; Surgery ; Trauma</subject><ispartof>Archives of orthopaedic and trauma surgery, 2022-04, Vol.142 (4), p.641-648</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-bd9b66dba95c37deadce7d7349eccd33225122d0a55351720d3cdbe8b5febeff3</citedby><cites>FETCH-LOGICAL-c474t-bd9b66dba95c37deadce7d7349eccd33225122d0a55351720d3cdbe8b5febeff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-021-03894-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-021-03894-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33884453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schöbel, Tobias</creatorcontrib><creatorcontrib>Theopold, Jan</creatorcontrib><creatorcontrib>Fischer, Jean-Pierre</creatorcontrib><creatorcontrib>Löffler, Sabine</creatorcontrib><creatorcontrib>Schleifenbaum, Stefan</creatorcontrib><creatorcontrib>Hepp, Pierre</creatorcontrib><title>Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Purpose
Horizontal instability is a common problem after acromioclavicular joint injuries. The aim of this study was to evaluate if there is a difference regarding horizontal stability between an anatomical and a non-anatomical configuration of the double tunnel coraco-clavicular ligament reconstruction of the acromioclavicular joint.
Methods
Thirteen acromioclavicular joints of human cadaveric shoulders in ethanol-glycerin fixation were included in the study and underwent cyclic anterior and posterior translational testing at a load of 70 N using an electromechanical uniaxial testing machine. The shoulders were randomly assigned to the following groups: double coraco-clavicular tunnel technique in an anatomical configuration (DCTa) and double coraco-clavicular tunnel technique in an inverse configuration of the anatomical position (DCTb). The dislocation was recorded with a 3D optical measuring system.
Results
The total horizontal displacement (
p
10
= 0.0221;
p
5000
= 0.082) was significantly higher for the non-anatomical reconstruction (DCTb) compared to the anatomical reconstruction (DCTa) after every measured amount of cycles. The increase in displacement for DCTb group was overall higher than the increase in displacement for DCTa group but without significance.
Conclusion
Reconstruction of the CC ligaments in an anatomical configuration with two suture devices results in a significantly higher stability of the AC joint in the horizontal plane than reconstruction of the CC ligaments in a non-anatomical configuration. Based on the results of this biomechanical in vitro study, the use of a double coraco-clavicular reconstruction should focus on an anatomically correct position of the suture devices.</description><subject>Acromioclavicular Joint - injuries</subject><subject>Acromioclavicular Joint - surgery</subject><subject>Arthroplasty, Replacement</subject><subject>Arthroscopy and Sports Medicine</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Cadaver</subject><subject>Clavicle - injuries</subject><subject>Humans</subject><subject>Injuries</subject><subject>Joint Dislocations - surgery</subject><subject>Ligaments</subject><subject>Ligaments, Articular - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Surgery</subject><subject>Trauma</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1vVCEUhomxsePoH3BhSNy4wfJ174WNSdP4lTTpRteEC9wpEwYqH5P0B_i_ZZzaVhfdQHLOe17OywPAG4I_EIyns4IxxxRhShBmQnKEn4EV4YwjJsn4HKywZCMSeCCn4GUpW4wJFRK_AKeMCcH5wFbg13nUNe280QHuXS6twJgi0g9Vk-LiNy3r6lOEaYE2tTm4Xs_aJGSC3nvTgs6wthhdgNWZ6-h_Ngd9hNrk7pMeqbbJxwqz676l5mYOtq_AyaJDca_v7jX48fnT94uv6PLqy7eL80tk-MQrmq2cx9HOWg6GTdZpa9xkJ8alM8YyRulAKLVYDwMbyESxZcbOTszD4ma3LGwNPh59b9q8c3061qyDusl-p_OtStqrfzvRX6tN2ishKceT6Abv7wxy6glLVTtfjAtBR5daUX2BUXQWcuzSd_9Jt6nl2OMpOnZAlJHpoKJHVf-nUrJb7pchWB0oqyNl1SmrP5T7uQZvH8e4H_mLtQvYUVB6K25cfnj7CdvfI_m41Q</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Schöbel, Tobias</creator><creator>Theopold, Jan</creator><creator>Fischer, Jean-Pierre</creator><creator>Löffler, Sabine</creator><creator>Schleifenbaum, Stefan</creator><creator>Hepp, Pierre</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220401</creationdate><title>Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction</title><author>Schöbel, Tobias ; Theopold, Jan ; Fischer, Jean-Pierre ; Löffler, Sabine ; Schleifenbaum, Stefan ; Hepp, Pierre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-bd9b66dba95c37deadce7d7349eccd33225122d0a55351720d3cdbe8b5febeff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acromioclavicular Joint - injuries</topic><topic>Acromioclavicular Joint - surgery</topic><topic>Arthroplasty, Replacement</topic><topic>Arthroscopy and Sports Medicine</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Cadaver</topic><topic>Clavicle - injuries</topic><topic>Humans</topic><topic>Injuries</topic><topic>Joint Dislocations - surgery</topic><topic>Ligaments</topic><topic>Ligaments, Articular - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Surgery</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schöbel, Tobias</creatorcontrib><creatorcontrib>Theopold, Jan</creatorcontrib><creatorcontrib>Fischer, Jean-Pierre</creatorcontrib><creatorcontrib>Löffler, Sabine</creatorcontrib><creatorcontrib>Schleifenbaum, Stefan</creatorcontrib><creatorcontrib>Hepp, Pierre</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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>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>Nursing & Allied Health Premium</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schöbel, Tobias</au><au>Theopold, Jan</au><au>Fischer, Jean-Pierre</au><au>Löffler, Sabine</au><au>Schleifenbaum, Stefan</au><au>Hepp, Pierre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>142</volume><issue>4</issue><spage>641</spage><epage>648</epage><pages>641-648</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Purpose
Horizontal instability is a common problem after acromioclavicular joint injuries. The aim of this study was to evaluate if there is a difference regarding horizontal stability between an anatomical and a non-anatomical configuration of the double tunnel coraco-clavicular ligament reconstruction of the acromioclavicular joint.
Methods
Thirteen acromioclavicular joints of human cadaveric shoulders in ethanol-glycerin fixation were included in the study and underwent cyclic anterior and posterior translational testing at a load of 70 N using an electromechanical uniaxial testing machine. The shoulders were randomly assigned to the following groups: double coraco-clavicular tunnel technique in an anatomical configuration (DCTa) and double coraco-clavicular tunnel technique in an inverse configuration of the anatomical position (DCTb). The dislocation was recorded with a 3D optical measuring system.
Results
The total horizontal displacement (
p
10
= 0.0221;
p
5000
= 0.082) was significantly higher for the non-anatomical reconstruction (DCTb) compared to the anatomical reconstruction (DCTa) after every measured amount of cycles. The increase in displacement for DCTb group was overall higher than the increase in displacement for DCTa group but without significance.
Conclusion
Reconstruction of the CC ligaments in an anatomical configuration with two suture devices results in a significantly higher stability of the AC joint in the horizontal plane than reconstruction of the CC ligaments in a non-anatomical configuration. Based on the results of this biomechanical in vitro study, the use of a double coraco-clavicular reconstruction should focus on an anatomically correct position of the suture devices.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33884453</pmid><doi>10.1007/s00402-021-03894-0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2022-04, Vol.142 (4), p.641-648 |
| issn | 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8924078 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Acromioclavicular Joint - injuries Acromioclavicular Joint - surgery Arthroplasty, Replacement Arthroscopy and Sports Medicine Biomechanical Phenomena Biomechanics Cadaver Clavicle - injuries Humans Injuries Joint Dislocations - surgery Ligaments Ligaments, Articular - surgery Medicine Medicine & Public Health Orthopedics Surgery Trauma |
| title | Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T13%3A57%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Anatomical%20versus%20non-anatomical%20configuration%20of%20double%20coraco-clavicular%20tunnel%20technique%20in%20acromioclavicular%20joint%20reconstruction&rft.jtitle=Archives%20of%20orthopaedic%20and%20trauma%20surgery&rft.au=Sch%C3%B6bel,%20Tobias&rft.date=2022-04-01&rft.volume=142&rft.issue=4&rft.spage=641&rft.epage=648&rft.pages=641-648&rft.issn=0936-8051&rft.eissn=1434-3916&rft_id=info:doi/10.1007/s00402-021-03894-0&rft_dat=%3Cproquest_pubme%3E2516838996%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2639123176&rft_id=info:pmid/33884453&rfr_iscdi=true |