Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation

Lawrence Camarda, Michele D'Arienzo, Isabella Monia Montagner, Alberto Ricciardi, Dario Pilla, Alessandro Geraci, Alessandro Geraci, Antonio D'Arienzo

Research output: Contribution to journalArticle

Abstract

Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement.Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one,three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required.Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05).Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery.Level of evidence: III
Original languageEnglish
Pages (from-to)143-150
Number of pages8
JournalDefault journal
Volume7
Publication statusPublished - 2019

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Camarda, L., D'Arienzo, M., Montagner, I. M., Ricciardi, A., Pilla, D., Geraci, A., ... D'Arienzo, A. (2019). Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation. Default journal, 7, 143-150.

Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation. / Camarda, Lawrence; D'Arienzo, Michele; Montagner, Isabella Monia; Ricciardi, Alberto; Pilla, Dario; Geraci, Alessandro; Geraci, Alessandro; D'Arienzo, Antonio.

In: Default journal, Vol. 7, 2019, p. 143-150.

Research output: Contribution to journalArticle

Camarda, L, D'Arienzo, M, Montagner, IM, Ricciardi, A, Pilla, D, Geraci, A, Geraci, A & D'Arienzo, A 2019, 'Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation', Default journal, vol. 7, pp. 143-150.
Camarda, Lawrence ; D'Arienzo, Michele ; Montagner, Isabella Monia ; Ricciardi, Alberto ; Pilla, Dario ; Geraci, Alessandro ; Geraci, Alessandro ; D'Arienzo, Antonio. / Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation. In: Default journal. 2019 ; Vol. 7. pp. 143-150.
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AU - Camarda, Lawrence

AU - D'Arienzo, Michele

AU - Montagner, Isabella Monia

AU - Ricciardi, Alberto

AU - Pilla, Dario

AU - Geraci, Alessandro

AU - Geraci, Alessandro

AU - D'Arienzo, Antonio

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AB - Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependent upon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicular separation with several static and dynamic operative procedures with or without primary ligament replacement.Methods: 47 patients with acute Rockwood type III, IV, and V injuries were treated surgically with LARS reconstruction. The success of technique was evaluated by radiographic outcomes for each patient at every follow-up visit (one,three, 12 months), while to assess pain reduction and clinical evaluation Visual Analogue scale score (VAS) and Constant-Murley score (CMA) was performed, respectively. An One Way Analysis of Variance (Kruskal-Wallis test), a multiple comparison Turket test, or a t-test (Mann-Whitney Rank Sum Test) were used when required.Results: Follow-up radiographs revealed maintenance of anatomical reduction in 41 patients, and no bone erosions has been identified. In short-term joint functional recovery has been observed. Indeed, after 12 months pain on the VAS-scale in all groups decreased significantly (P < 0.05), and the CMS revealed a significant overall improvement (P < 0.05).Conclusion: These data demonstrate that the use of the LARS allows to provide stability to the joint and especially to ensure its natural elasticity, relieving pain and improving joint function already one month post-surgery.Level of evidence: III

UR - http://hdl.handle.net/10447/355613

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