Coracoclavicular stabilization using a suture anchor technique.
Multiple fixation options exist for coracoclavicular stabilization, but many are technically demanding and require hardware removal. In the study reported here, we reviewed a specific fixation technique that includes suture anchors moored in the base of the coracoid process. We retrospectively reviewed 24 consecutive cases of patients who underwent coracoclavicular stabilization with a suture anchor for a type III or type V acromioclavicular (AC) joint separation or a group II, type II or type V distal clavicle fracture. Eighteen of the 22 patients had full strength and painless range of motion (ROM) in the affected extremity by 3 months and at final follow-up (minimum, 24 months; mean, 39 months). Two patients were lost to follow-up. Four patients had early complications likely secondary to documented noncompliance. Two of these 4 patients underwent reoperation with a similar procedure and remained asymptomatic at a minimum follow-up of 15 months. One patient underwent osteophyte and knot excision 7 months after surgery and remained asymptomatic at 30 months. Our results suggest that coracoclavicular stabilization using a suture anchor technique is a safe and reliable method of treating acromioclavicular joint separations and certain distal clavicle fractures in the compliant patient.
Friedman
Darren J
DJ
Department of Orthopaedic Surgery, St. Luke's Roosevelt Hospital Center, New York, NY 10025, USA. djfortho@hotmail.com
Barron
O Alton
OA
Catalano
Louis
L
Donahue
Joseph P
JP
Zambetti
George
G
D000328:Adult; D000368:Aged; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005594:Fracture Fixation, Intramedullary; D050723:Fractures, Bone; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012540:Scapula / Q000000981:diagnostic imaging / Q000601:surgery*; D053441:Suture Anchors; D013536:Suture Techniques; D016896:Treatment Outcome