AI Article Synopsis
- - Acromioclavicular (AC) joint injuries are common in sports, and the Modified Weaver Dunn (MWD) technique is a traditional treatment, but tendinous grafts are becoming more popular due to MWD's limitations.
- - A study analysis reviewed four research papers, assessing outcomes like infections, patient scores, and joint stability after surgery. Tendinous grafts resulted in better patient scores (ASES and Constant-Murley) without increasing complications.
- - While tendinous grafts showed improved patient scores compared to MWD, both methods had similar rates of complications and stability, with no significant clinical importance identified in the score differences.
Article Abstract
Background: Acromioclavicular (AC) joint trauma is a frequent sports injury. Modified Weaver Dunn (MWD) is a commonly used technique to address this injury. However, tendinous grafts (Autogenous Palmaris Longus or Semitendinosus tendons) are increasingly being used due to the biologic weakness of MWD.
Methods: Three search was done until January 2024 with data extraction consisting of adverse events (infections and failures), Constant-Murley score, American Shoulder and Elbow Surgeons score, and postoperative coracoclavicular distance.
Results: Four studies were included in this metaanalysis. Tendinous graft was shown to have statistically better ASES and Constant-Murley scores. Furthermore, there were no difference in adverse events, and postoperative coracoclavicular distance.
Conclusion: The tendinous graft showed no differences in adverse events, and postoperative coracoclavicular distance when compared to modified Weaver Dunn. However, it showed higher postoperative ASES and Constant-Murley score without analysis of the minimal clinical important difference making the difference solely statistical.
Level Of Evidence: 3.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268024 | PMC |
| http://dx.doi.org/10.1177/24715492241266133 | DOI Listing |
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