Biomechanical analysis of different fixation methods of acromioclavicular joint dislocations on acromioclavicular and sternoclavicular joints motions

Authors

  • Sergii Bezruchenko SI «Institute of Traumatology and Orthopedics NAMS of Ukraine», Kyiv, Ukraine
  • Olexii Dolhopolov SI «Institute of Traumatology and Orthopaedics of the NAMS of Ukraine», Kyiv, Ukraine
  • Igor Lazarev SI «Institute of Traumatology and Orthopaedics of the NAMS of Ukraine», Kyiv, Ukraine
  • Alexey Chkalov National Technical University of Ukraine «Igor Sikorsky Kyiv Polytechnic Institute», Ukraine
  • Maryna Yarova SI «Institute of Traumatology and Orthopaedics of the NAMS of Ukraine», Kyiv, Ukraine

DOI:

https://doi.org/10.15674/0030-59872020319-28

Keywords:

acromioclavicular joint, biomechanical substantiation, methods of fixation

Abstract

The injury of acromioclavicular joint is one of the causes limitation function of the shoulder joint. Choice of fixation methods of acromioclavicular joint dislocation is actual topic to research. Objective: to study by a biomechanical experiment and to substantiate influence of different fixation methods of acromioclavicular joint dislocation on range of motion of acromioclavicular and sternoclavicular joints during the upper extremity elevation. Methods: 6 prototypes of a natural skeleton 3D technology from ADS plastic were used. The capsuloligamentous components, dynamic and static stabilizations of acromioclavicular and sternoclavicular joint were modeled from artificial materials. Each model of acromioclavicular dislocation was fixed by 6 different fixations methods: «intact joint», «fixation by Weber», «Bosworth screw», «Hook-plate», «DogBone», «External fixation». During the experimental study, the range of motions was fixed in acromioclavicular and sternoclavicular joints in 90 and 180 degrees of arm elevation, each experiment was repeated 5 times. Results: range of motion in acromioclavicular and sternoclavicular joints in position of 90 degree of arm elevation, with fixation of acromioclavicular joint dislocation by Hook-plate and system of 2 mini plates and suture material (DogBone), in position of 180 degree of arm elevation with fixation of «DogBone» was physiological. Other methods of fixation — «Bosworth screw», «Weber fixation», «External fixation», «Hook plate» limited the range of motion in the acromioclavicular joint and increase motion in the sternoclavicular joint at maximal arm elevation. Conclusions: fixation of acromioclavicular joint dislocation by 2 mini plates and suture material (DogBone) gives physiological range of motion in acromioclavicular and sternoclavicular joints during arm elevation.

Author Biographies

Olexii Dolhopolov, SI «Institute of Traumatology and Orthopaedics of the NAMS of Ukraine», Kyiv

MD

Igor Lazarev, SI «Institute of Traumatology and Orthopaedics of the NAMS of Ukraine», Kyiv

PhD

Alexey Chkalov, National Technical University of Ukraine «Igor Sikorsky Kyiv Polytechnic Institute»

PhD in Tech.Scien.

Maryna Yarova, SI «Institute of Traumatology and Orthopaedics of the NAMS of Ukraine», Kyiv

PhD

References

  1. Hislop, P., Sakata, K., Ackland, D. C., Gotmaker, R., & Evans, M. C. (2019). Acromioclavicular joint stabilization: A biomechanical study of bidirectional stability and strength. Orthopaedic Journal of Sports Medicine, 7(4), 232596711983675. doi: 10.1177/2325967119836751
  2. Chahla, J., Marchetti, D. C., Moatshe, G., Ferrari, M. B., Sanchez, G., Brady, A. W., ... & Provencher, M. T. (2018). Quantitative assessment of the Coracoacromial and the Coracoclavicular ligaments with 3-Dimensional mapping of the coracoid process anatomy: A cadaveric study of surgically relevant structures. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 34(5), 1403-1411. doi: 10.1016/j.arthro.2017.11.033
  3. Golovakha, M. L., Shishka, I. V., Banit, O. V., Babich, Yu. A., Tverdovsky, A. O., & Zabelin, I. N. (2012). Minimally invasive treatment of fresh injuries of the supra-shoulder-clavicular joint. Orthopedics, Traumatology and Prosthetics, 3, 35–38. doi: 10.15674/0030-59872012335-38. [in Ukrainian]
  4. Beitzel, K., Cote, M. P., Apostolakos, J., Solovyova, O., Judson, C. H., Ziegler, C. G., ... & Mazzocca, A. D. (2013). Current concepts in the treatment of Acromioclavicular joint dislocations. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 29(2), 387-397. doi: 10.1016/j.arthro.2012.11.023
  5. Van Bergen, C. J., Van Bemmel, A. F., Alta, T. D., & Van Noort, A. (2017). New insights in the treatment of acromioclavicular separation. World Journal of Orthopedics, 8(12), 861-873. doi: 10.5312/wjo.v8.i12.861
  6. Allemann, F., Halvachizadeh, S., Waldburger, M., Schaefer, F., Pothmann, C., Pape, H. C., & Rauer, T. (2019). Different treatment strategies for acromioclavicular dislocation injuries: A nationwide survey on open/minimally invasive and arthroscopic concepts. European Journal of Medical Research, 24(1). doi: 10.1186/s40001-019-0376-7
  7. Chernysh, V. Yu., Klimovitsky, V.,G., Lobko, A. Ya., Chernetsky, V. Yu., & Prykolota, V. D. (2009). Treatment of injuries of the acromioclavicular joint by the method of external transosseous osteosynthesis. Trauma, 10(3). [in Russian]
  8. Umansky, K. S. (2011). Results of the application of the method of treatment for complete ruptures of the acromioclavicular joint, preserving its physiological mobility. Trauma, 12(1), 21–23. [in Russian]
  9. Sahara, W., Sugamoto, K., Murai, M., Tanaka, H., & Yoshikawa, H. (2006). 3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI. Journal of Orthopaedic Research, 24(9), 1823-1831. doi: 10.1002/jor.20208
  10. Winkler, H., Schlamp, D., & Wentzensen A. (1994). Die Behandlung der Akromioklavikulargelenk verrenkung durch Zuggurtung und Bandnaht [Treatment of acromioclavicular joint dislocation by tension band and ligament suture]. Aktuelle Traumatologie, 24(4), 133–139
  11. Bosworth, B. M. (1941). Acromioclavicular separation: new method of repair. Surgery, Gynecology and Obstetrics, 73, 866–871
  12. Sim, E., Schwarz, N., Hocker, K., & Berzlanovich, A. (1995). Repair of complete Acromioclavicular separations using the acromioclavicular-hook plate. Clinical Orthopaedics and Related Research, (314), 134-142. doi: 10.1097/00003086-199505000-00017
  13. Struhl, S., Wolfson, T. S., & Kummer, F. (2016). Axial-plane biomechanical evaluation of 2 suspensory cortical Button fixation constructs for Acromioclavicular joint reconstruction. Orthopaedic Journal of Sports Medicine, 4(12), 232596711667466. doi: 10.1177/2325967116674668
  14. Lobko, O. Ya., Chernysh, V. Yu., Chernetsky, V. Yu. (2009). Method of transosseous osteosynthesis of dislocation of the acromial end of the clavicle. Ukraine. Patent 38662. [in Ukrainian]
  15. Gutierrez Delgado, G., De Beule, M., Ortega Cardentey, D. R., Segers, P., Iznaga Benítez, A. M., Rodríguez Moliner, T., ... & Van Tongel, A. (2017). Procedure to describe clavicular motion. Journal of Shoulder and Elbow Surgery, 26(3), 490-496. doi: 10.1016/j.jse.2016.09.009
  16. Wu, G., Van der Helm, F. C., (DirkJan) Veeger, H., Makhsous, M., Van Roy, P., Anglin, C., ... & Buchholz, B. (2005). ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—Part II: Shoulder, elbow, wrist and hand. Journal of Biomechanics, 38(5), 981-992. doi: 10.1016/j.jbiomech.2004.05.042
  17. Inman, V. T., Saunders, J. B., & Abbott, L. C. (1996). Observations of the function of the shoulder joint. Clinical Orthopaedics and Related Research, 330, 3-12. doi: 10.1097/00003086-199609000-00002
  18. Theopold, J., Schöbel, T., Fischer, J., Löffler, S., Osterhoff, G., Schleifenbaum, S., & Hepp, P. (2019). Acromioclavicular joint reconstruction: An additional acromioclavicular cerclage does not improve horizontal stability in double coraco-clavicular tunnel technique. Knee Surgery, Sports Traumatology, Arthroscopy, 27(12), 3827-3834. doi: 10.1007/s00167-019-05674-1
  19. Weiser, L., Nüchtern, J. V., Sellenschloh, K., Püschel, K., Morlock, M. M., Rueger, J. M., ... & Großterlinden, L. G. (2015). Acromioclavicular joint dislocations: Coracoclavicular reconstruction with and without additional direct acromioclavicular repair. Knee Surgery, Sports Traumatology, Arthroscopy, 25(7), 2025-2031. doi: 10.1007/s00167-015-3920-1

Downloads

How to Cite

Bezruchenko, S., Dolhopolov, O., Lazarev, I., Chkalov, A., & Yarova, M. (2023). Biomechanical analysis of different fixation methods of acromioclavicular joint dislocations on acromioclavicular and sternoclavicular joints motions. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 19–28. https://doi.org/10.15674/0030-59872020319-28

Issue

No. 3 (2020)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2020 Sergij Bezruchenko, Olexij Dolhopolov, Igor Lazarev, Olexij Chkalov, Maryna Yarova

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).