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Radiographic appearance of the distal clavicle in relation to the acromion after acromioclavicular joint reconstruction using a braided polyester mesh

Tulner, Sven A.F.; Fowler, Andy; Edwards, Kimberley L.; Kumar, Vinod; Manning, Paul; Geoghegan, John M.; Wallace, William A.

Authors

Sven A.F. Tulner

Andy Fowler

KIMBERLEY EDWARDS Kimberley.Edwards@nottingham.ac.uk
Professor of Sport, exercise and Nutrition Education

Vinod Kumar

Paul Manning

John M. Geoghegan

William A. Wallace



Abstract

ACJ stabilization using a braided polyester mesh has become popular in ACJ injuries. However, concerns have been raised about excessive anterior clavicle displacement. The purpose of this study was to report radiographic position of the distal clavicle in relation to the acromion after ACJ reconstruction using this device immediately postoperative and after 6 months follow-up compared with a healthy control group.

Thirty-eight patients with ACJ instability treated with a braided polyester mesh were compared within group (pre-/postoperatively) and between groups (with age/sex matched controls). Biplane radiographic measurements by 2 observers were made preoperatively, immediate postoperatively and at 6 months follow-up. Inter-observer reliability was assessed and clinical outcome scores were recorded.

ACJ stabilization significantly reduced vertical displacement immediately postoperatively (13.8 ± 4.2 to 3.5 ± 5.5 mm; p [less than] 0.0001) towards controls (1.7 ± 2.3 mm,p 

Journal Article Type Article
Publication Date Jan 15, 2019
Journal Journal of Clinical Orthopaedics and Trauma
Print ISSN 0976-5662
Electronic ISSN 2213-3445
Publisher Elsevier
Peer Reviewed Peer Reviewed
APA6 Citation Tulner, S. A., Fowler, A., Edwards, K. L., Kumar, V., Manning, P., Geoghegan, J. M., & Wallace, W. A. (2019). Radiographic appearance of the distal clavicle in relation to the acromion after acromioclavicular joint reconstruction using a braided polyester mesh. Journal of Clinical Orthopaedics and Trauma, doi:10.1016/j.jcot.2019.01.012
DOI https://doi.org/10.1016/j.jcot.2019.01.012
Publisher URL https://www.sciencedirect.com/science/article/pii/S0976566218304405?dgcid=rss_sd_all
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