title: Chronic acromioclavicular joint dislocations treated by the GraftRope device.
abstract: OBJECTIVE
  Surgical treatment of chronic acromioclavicular joint dislocations is challenging, and no single procedure can be considered to be the gold standard. In 2010, the GraftRope method (Arthrex Inc., Naples, FL) was introduced in a case series of 10 patients, showing good clinical results and no complications. We wanted to evaluate the GraftRope method in a prospective consecutive series.
  
  
  METHODS
  8 patients with chronic Rockwood type III-V acromioclavicular joint dislocations were treated surgically using the GraftRope method. The patients were clinically evaluated and a CT scan was performed to assess the integrity of the repair.
  
  
  CONCLUSIONS
  In 4 of the 8 patients, loss of reduction was seen within the first 6 weeks postoperatively. A coracoid fracture was the reason in 3 cases and graft failure was the reason in 1 case. In 3 of the 4 patients with intact repairs, the results were excellent with no subjective shoulder disability 12 months postoperatively. It was our intention to include 30 patients in this prospective treatment series, but due to the high rate of complications the study was discontinued prematurely. Based on our results and other recent reports, we cannot recommend the GraftRope method as a treatment option for chronic acromioclavicular joint dislocations.
authors.affiliation: Department of Orthopedics , Helsingborg Hospital , Sweden.
authors.forename: Jonas S
authors.initials: JS
authors.lastname: Nordin
authors.forename: Knut E
authors.initials: KE
authors.lastname: Aagaard
authors.forename: Karl
authors.initials: K
authors.lastname: Lunsjö
mesh_terms: D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D000328:Adult; D001182:Arthroscopy / Q000379:methods; D002908:Chronic Disease; D015331:Cohort Studies; D057239:Early Termination of Clinical Trials; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000379:methods*; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult