Evaluation of the Surgical Treatment for Chronic Acromioclavicular Joint Injury; Weaver and Dunn Method Versus Acromial Bone Block Transfer

Park,  Jin Young; Kang,  Seung Wan; Lhee,  Sang Hoon; Seo,  Jung Bae; Lee,  Seung Jun

doi:2010.13.2.209

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Original Article

Clinics in Shoulder and Elbow 2010;13(2):209-216.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.209 Published online December 31, 2010.

Evaluation of the Surgical Treatment for Chronic Acromioclavicular Joint Injury; Weaver and Dunn Method Versus Acromial Bone Block Transfer

Jin Young Park, Seung Wan Kang, Sang Hoon Lhee, Jung Bae Seo, Seung Jun Lee

¹Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea. ninanojune@naver.com
²Department of Orthopaedic Surgery, Dankuk University school of Medicine, Cheon-An, Korea.

오구견봉인대만을 이용한 술식과 견봉골편을 포함한 오구견봉인대를 이용한 변형 Weaver and Dunn 술식에서의 만성 견봉쇄골관절 손상 치료결과 추시

박진영·강승완·이상훈·서중배*·이승준

건국대학교 의학전문대학원 정형외과학교실, 단국대학교 의학전문대학원 정형외과학교실

Abstract

PURPOSE
The purpose of our study was to compare treatment results of two different surgical techniques for chronic acromioclavicular joint dislocations. MATERIALS AND METHODS: Fifty consecutive patients diagnosed as chronic acromioclavicular joint dislocations between January 1997 and June 2009 were included in the study. Patients were randomized into two different groups. Patients in the first group (n=20) were treated using a modified Weaver and Dunn method using a simple coracoacromial ligament transfer method. Patients in the other group (n=30) were treated with acromial bone-block transfer containing coracoacromial ligament. Mean follow-up times for the two groups were 13.1 and 14.9 months, respectively.
RESULTS
At 1 year postoperatively, mean coracoclavicular distance, the VAS score and the ASES score for the Weaver-Dunn method group; for the bone block transfer method group were 3.8 mm (-3 to 6 mm), 3.5 (1.0 to 7.0) and 91.1 (81.66 to 95); 3 mm (-2 to 6 mm), 4.2 (1.0 to 7.5) and 79.6 (31.66 to 95). There were no significant differences in radiologic (p=0.377) and functional (p=0.093) results between the two groups. Failures in the former and latter group were, respectively, two and one.
CONCLUSION
The bone block transfer method shows a tendency to maintain coracoclavicular distance and appeared to yield similar results as the modified Weaver Dunn method.

Key Words: Acromioclavicular joint; Coracoacromial ligament; Acromial bone block; Modified Weaver and Dunn method

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