The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results
Abstract
1. Introduction
2. Material and Methods
2.1. Surgical Technique
2.2. Rehabilitation
2.3. Statistical Analysis
3. Results
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Technique | Advantages | Disadvantages |
---|---|---|
Weaver-Dunn/ Dewar | Widely used in literature | Sacrifice of CA ligament/conjoint tendon, lower strength of construct, may require augmentation |
Bosworth | Low cost, readily available | Bicortical and bi-bone fixation, risk of fracture/screw loosening or breakage, may require removal |
Hook Plate/ K wires | Strong construct | Plate impingement, skin and infections problems, second operation required |
Tendon grafts | Good outcomes, biological construct, no sacrifice of CA ligament | Donor site related problems, infections, additional costs for allograft, additional surgical time |
Synthetic ligaments | Biomechanically proven, non-harvesting technique, no sacrifice of CA ligament, enable soft tissue ingrowth, good tensile strength, low complications rate | Possible soft tissue irritation/reaction, fixation screw may require removal, bone fracture risk |
Suture loops/ suspensory systems | Biomechanically proven, non-harvesting technique, loop around coracoid, strong fixation, no sacrifice of CA ligament | Bone fractures, loss of reduction, bony erosion, implant migration |
Infinity Lock System | non-harvesting technique, single 4mm clavicle tunnel, loop around coracoid, no sacrifice of CA ligament, good tensile strength, titanium button on clavicle maintains reduction, low complications rate | Possible soft tissue irritation/reaction |
PRE | POST | p | |
---|---|---|---|
FF | 70 ± 28 | 162 ± 8 | <0.05 |
ER1 | 15 ± 5 | 35 ± 10 | <0.05 |
ER2 | 46 ± 9 | 84 ± 5 | <0.05 |
IR1 (out of 10), points | 5 ± 3 | 9 ± 1 | NS |
IR2 | 38 ± 9 | 88 ± 1 | <0.05 |
SACS | 52 ± 15.7 | 10 ± 8.2 | <0.00001 |
CS | 38 ± 15 | 95 ± 3 | <0.00001 |
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Romano, A.M.; Casillo, P.; De Simone, M.; Nastrucci, G.; Risorto, D.; Susanna, M.; Di Giunta, A.; Ascione, F. The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results. J. Clin. Med. 2020, 9, 2519. https://doi.org/10.3390/jcm9082519
Romano AM, Casillo P, De Simone M, Nastrucci G, Risorto D, Susanna M, Di Giunta A, Ascione F. The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results. Journal of Clinical Medicine. 2020; 9(8):2519. https://doi.org/10.3390/jcm9082519
Chicago/Turabian StyleRomano, Alfonso Maria, Pasquale Casillo, Monica De Simone, Guglielmo Nastrucci, Donatella Risorto, Massimiliano Susanna, Angelo Di Giunta, and Francesco Ascione. 2020. "The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results" Journal of Clinical Medicine 9, no. 8: 2519. https://doi.org/10.3390/jcm9082519
APA StyleRomano, A. M., Casillo, P., De Simone, M., Nastrucci, G., Risorto, D., Susanna, M., Di Giunta, A., & Ascione, F. (2020). The Infinity-Lock System for Chronic Grade III AC Joint Dislocation: A Novel Technique, Rehabilitation Protocol and Short Term Results. Journal of Clinical Medicine, 9(8), 2519. https://doi.org/10.3390/jcm9082519