Open Access
Table 2
Summary of the different surgical techniques used.
| Technique | Benefits | Drawbacks | Complications |
|---|---|---|---|
| Arthroscopic CC ligament reconstruction using synthetic graft | Higher patient satisfaction rates noted in some studies. | Similar loss to CC distance post operatively to open techniques. Similar post-operative outcome scores to open techniques. | Similar to open techniques, including cases of coracoid fracture, AC joint subluxation, loss of CC reduction, graft soft tissue reaction and implant failure. |
| Hook plate fixation | Very good CC distance reduction, similar post-operative outcome scores to reconstruction techniques. No cases of AC sublaxation. | Necessity for metalwork removal, increase of the CC distance following removal, | Cases of subacromial acrolysis, acromion erosion, and subacromial impingement. Occasionally periarticular ossification and scapular dyskinesis noted. |
| CC ligament reconstruction using synthetic implant (open technique) | Similar post-operative outcome scores to other techniques. Similar reduction of the CC distance to other techniques. | Similar loss to CC distance post-operatively to other techniques. | Soft tissue reaction, implant failure, coracoid fracture, loss of CC reduction, AC joint sublaxation. |
| Mini open AC repair (MINAR)/synthetic graft | Similar post-operative outcome scores to other techniques. | Loss of CC distance? (not evaluated) | Cases of periarticular ossification noted in the literature. |
| CC ligament reconstruction using autograft or allograft | Similar post-operative outcome scores to other techniques, similar reduction of the CC distance to other techniques. | Similar loss of the CC distance in comparison to hook plate and synthetic CC reconstruction techniques. | Similar to other techniques and occasionally pain and swelling at the site of harvesting (Autograft). Wound infection has been noted in the Allograft group. |
| Combined techniques | Similar post-operative outcome scores to other techniques, similar reduction of the CC distance to other techniques. | Increased operation time and cost? Loss of CC distance? (not evaluated) | Similar to previous techniques. No specific complication noted for the combined group. |
| Weaver-Dunn procedure | Similar post-operative outcome scores to other techniques. | Higher rate of loss of CC distance post-operatively in comparison to other techniques. | Higher rate of loss of CC distance post-operatively in comparison to other techniques. |
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