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  3. BiPOD Arthroscopic Acromioclavicular Repair Restores Bidirectional Stability.
 

BiPOD Arthroscopic Acromioclavicular Repair Restores Bidirectional Stability.

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BORIS DOI
10.7892/boris.94788
Date of Publication
2017
Publication Type
Article
Division/Institute

Universitätsklinik fü...

Author
De Beer, Joe
Schär, Michael
Universitätsklinik für Orthopädische Chirurgie und Traumatologie
Latendresse, Kim
Raniga, Sumit
Moor, Beat Kaspar
Universitätsklinik für Orthopädische Chirurgie und Traumatologie
Zumstein, Matthias
Universitätsklinik für Orthopädische Chirurgie und Traumatologie
Subject(s)

600 - Technology::610...

Series
Orthopedics
ISSN or ISBN (if monograph)
0147-7447
Publisher
Slack
Language
English
Publisher DOI
10.3928/01477447-20160915-01
PubMed ID
27648574
Description
Stabilizing the acromioclavicular joint in the vertical and horizontal planes is challenging, and most current techniques do not reliably achieve this goal. The BiPOD repair is an arthroscopically assisted procedure performed with image intensifier guidance that reconstructs the coracoclavicular ligaments as well as the acromioclavicular ligaments to achieve bidirectional stability. Repair is achieved with a combination of 2-mm FiberTape (Arthrex, Naples, Florida) and 20-mm Poly-Tape (Neoligaments, Leeds, England) to achieve rigid repair, prevent bone abrasion, and promote tissue ingrowth. This study is a prospective review of the first 6 patients treated for high-grade acute acromioclavicular injury with the BiPOD technique. The study included 6 men who were 21 to 36 years old (mean, 27 years). At 6-month follow-up, complications were recorded and radiographic analysis was used to determine the coracoclavicular distance for vertical reduction and the amount of acromioclavicular translation on the Alexander axillary view was used to determine horizontal reduction. One patient had a superficial infection over the tape knot. The difference in coracoclavicular distance between the operated side and the uninvolved side was 9±2 mm preoperatively and 0.3±2 mm at 6-month follow-up. On Alexander axillary view, all 6 patients showed stable reduction, which is defined as a clavicle that is in line with the acromion. The findings show that BiPOD acromioclavicular reconstruction restores bidirectional stability of the acromioclavicular joint at 6 months. [Orthopedics. 201x; xx(x):exx-exx.].
Handle
https://boris-portal.unibe.ch/handle/20.500.12422/149372
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bipod-arthroscopic-acromioclavicular-repair-restores-bidirectional-stability.pdftextAdobe PDF2.91 MBpublished
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