Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes

Marcheggiani Muccioli, GM, Manning, C, Wright, P, Grassi, A, Zaffagnini, S and Funk, L 2016, 'Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes' , Knee Surgery, Sports Traumatology, Arthroscopy, 24 (6) , pp. 1961-1967.

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Abstract

Purpose To compare outcomes of acromioclavicular (AC) joint reconstruction with ligament augmentation and reconstruction system (LARS) ligament in professional and non-professional athletes at 2-year minimum follow-up. Methods Forty-three patients (men; mean age 30, range 19–54 years) with Rockwood type III to V chronic AC joint dislocations underwent AC joint reconstruction with LARS ligament and standardized rehabilitation. Patients were divided into two groups: professionals (22) and non-professionals (21). Clinical and radiological evaluations were performed preoperatively, at 3- and 24-month follow-up. Results All clinical (Oxford and Constant) scores and patient satisfaction improved significantly from preoperative to follow-up intervals (p < 0.00001). However, professionals showed nonsignificant improvements from 3- to 24-month follow-up in Constant. Although groups differed preoperatively in Constant (p = 0.037), they were not different in preoperative-to-postoperative differences in clinical scores, postoperative final satisfaction and median time to return to unrestricted activity [4 (interquartiler range 3–5) months to return to full sport in professionals]. Follow-up radiographs revealed an AC joint ratio (clavicle inferior-to-superior translation as ratio of AC joint height) of 0.09 and 0.16 in 8/22 professionals, 0.19 and 0.31 in 9/21 non-professionals, 0.14 and 0.24 in 17/43 overall patients at 3- and 24-month follow-up, respectively. Slight loss of reduction (0.25 < AC joint ratio < 0.50): 21 %. There were no significant clinical–radiographic correlations. Complication: one coracoid fracture at follow-up and one wound infection. Conclusions AC joint reconstruction with LARS ligament did not reveal differences in clinical outcomes between groups, with 2 % of failures (re-dislocations) at 2-year minimum follow-up. Superior radiological outcomes in professionals were not correlated to clinical results. Level of evidence Therapeutic study–prospective comparative study, Level II.

Item Type: Article
Schools: Schools > School of Health Sciences
Journal or Publication Title: Knee Surgery, Sports Traumatology, Arthroscopy
Publisher: Springer Verlag
ISSN: 0942-2056
Depositing User: WM Taylor
Date Deposited: 07 Nov 2016 11:21
Last Modified: 07 Nov 2016 11:21
URI: http://usir.salford.ac.uk/id/eprint/40632

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