Contents
Download PDF
pdf Download XML
257 Views
92 Downloads
Share this article
Research Article | Volume 13 Issue 7 (July, 2023) | Pages 1 - 6
Reconstruction of Chronic Acromioclavicular Joint Dislocation: Modified Weaver-Dunn Procedure Versus Autogenous Semitendinosus Graft
Under a Creative Commons license
Open Access
Received
May 5, 2023
Revised
May 25, 2023
Accepted
June 18, 2023
Published
July 2, 2023
Abstract

Background: Operative procedure in chronic cases of Acromioclavicular joint dislocation remains controversial. The modified weaver-dunn method is one of the most popular methods but it is a non anatomic technique that presents approx 30:/: loss of reduction and horizontal instability. Anatomic Coracoclavicular ligament reconstruction using autogenous tendon graft reportedly diminishes pain, eliminates sequelae, and improves function as well as strengthstrength, still it also having some complications like clavicle fracture, coracoid fracture or hyperaesthsia due to infrapatellar branch of sapheneous nerve ( while taking hamstring tendon graft)  Objective: To compare functional outcomes between modified weaver –Dunn procedure and anatomic coracoclavicular ligament reconstruction technique using semitendinosus tendon graft. Method Fifty six patients (mean age, 31 years) with painful, chronic Rockwood type 3, 4, and 5 acromioclavicular joint dislocation were subjected to surgical intervention. All patients randomly divided in 2 groups, group A for anatomic coracoclavicular reconstruction using semitendinosus tendon (ST) graft and group B for modified weaver-dunn procedure. Clinical evaluation was performed using American shoulder and elbow surgeons shoulder score (ASES) and the constant score after follow up of 6 months  Results In the ST group (group A), the mean ASES shoulder score improved from  76.92+/-5.73 preoperatively to 95.14+/-3.85 postoperatively and mean constant score from 69.96 +/-6.70 preoperatively to 94.21+/-2.79 postoperatively. In the weaver-dunn group (group B), the mean ASES shoulder score improved from 76.78+/-5.76 preoperatively to 88.82+/-2.29 postoperatively and mean constant score improved from 69.50+/-5.87 preoperatively to 85.50+/-3.34 postoperatively. The results in the semitendinosus tendon graft grouwere significantly better than in the weaver–dunn group (p<0.05). Conclusion Semitendinosus tendon graft for coracoclavicular ligament reconstruction resulted in significantly superior functional outcomes compared to the modified Weaver-Dunn procedure.

Keywords
Recommended Articles
Research Article
Correlation of Platelet Indices with Thrombocytosis: A Clinicopathological Study in a Tertiary Care Hospital
Published: 30/06/2023
Download PDF
Research Article
Fixation of pertrochanteric fracture with proximal femoral nail in adults
Published: 20/09/2018
Download PDF
Research Article
Predictive Value of Serum Uric Acid in Patients with Decompensated Chronic Heart Failure at Tertiary Care Teaching Hospital
Published: 28/12/2016
Download PDF
Research Article
Patterns The study of nutrient foramina in human clavicle
Published: 05/02/2025
Download PDF
Chat on WhatsApp
Copyright © EJCM Publisher. All Rights Reserved.