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Modified Weaver Dunn Versus Ligamentous Reconstruction Grafts in Chronic Acromioclavicular Joint Dislocation: A Systematic Review and Meta-Analysis of Comparative Studies.
Daher, Mohammad; Ghoul, Ali; Farhat, Charbel; Boufadel, Peter; Fares, Mohamad Y; El Hassan, Bassem; Abboud, Joseph A.
Afiliación
  • Daher M; Rothman Orthopedic Institute, Philadelphia, PA, USA.
  • Ghoul A; Hôtel Dieu de France, Beirut, Lebanon.
  • Farhat C; Hôtel Dieu de France, Beirut, Lebanon.
  • Boufadel P; Hôtel Dieu de France, Beirut, Lebanon.
  • Fares MY; Rothman Orthopedic Institute, Philadelphia, PA, USA.
  • El Hassan B; Rothman Orthopedic Institute, Philadelphia, PA, USA.
  • Abboud JA; Massachusetts General Hospital, Boston, MA, USA.
J Shoulder Elb Arthroplast ; 8: 24715492241266133, 2024.
Article en En | MEDLINE | ID: mdl-39049876
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Shoulder Elb Arthroplast Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Shoulder Elb Arthroplast Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos