Acromioclavicular joint dislocation and reconstruction / 中国组织工程研究

ABSTRACT

BACKGROUND:At present, Rockwood type I, II acute dislocation of acromioclavicular joint is recommended to be treated non-operatively, while acute dislocation of type IV, V and VI should be treated operatively. The treatment of type III acute dislocation of acromioclavicular joint remains controversial. Furthermore, there are a variety of methods to repair the dislocation of acromioclavicular joint. Among them, the anatomical reconstruction of coracoclavicular ligament and acromioclavicular ligament to restore the biomechanics of acromioclavicular joint are the developing trend. Therefore, more and more scholars pay attention to the anatomical structure of acromioclavicular joint. OBJECTIVE:To summarize the research status of the repair and reconstruction of acromioclavicular joint dislocation. METHODS:A computer-based retrieval was performed among Wanfang database (http//g.wanfangdata.com.cn/) and PubMed database (http//www.ncbi.nlm.nih.gov/PubMed) by the first author until May 2014, for articles about acromioclavicular joint structure and acromioclavicular joint dislocation. The key words were“acromioclavicular, acromioclavicular joint dislocation, endobutton”in English, and“acromioclavicular joint dislocation, anatomical reconstruction”in Chinese. After repeated studies were excluded, 1 632 articles were screened out, and 43 of them were involved in the analysis. RESULTS AND CONCLUSION:Surgical methods of acromioclavicular joint dislocation are various. Now the treatment trends to anatomical reconstruction, including tendon transplantion and endobutton technique. Based on it, more and more basic researches of the acromioclavicular joint emerge. But due to the lack of large sample, multi-center clinical control study, the optimal treatment of the acromioclavicular joint dislocation is at the exploration stage.