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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-07-2017 | Shoulder

Early complications of acromioclavicular joint reconstruction requiring reoperation

Authors: Dean Wang, Benjamin E. Bluth, Chad R. Ishmael, Jeremiah R. Cohen, Jeffrey C. Wang, Frank A. Petrigliano

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2017

Abstract

Purpose

Prior studies have reported high complication rates with acromioclavicular joint reconstruction (ACJR). However, many of these reports have suffered from small sample sizes and inclusion of older surgical techniques. The purpose of this study was to determine the rates of early complications requiring reoperation in patients treated with ACJR.

Methods

From 2007 to 2011, patients who were treated with ACJR were identified using the PearlDiver database, a large insurance database in the USA. The following reoperations were then queried from this patient cohort: irrigation and debridement within 30 days of index surgery, manipulation under anaesthesia (MUA) of the shoulder joint within 3 months of index surgery, and revision ACJR, distal clavicle excision, and removal of hardware within 6 months of index surgery.

Results

In total, 2106 patients treated with ACJR were identified. The reoperation rates for irrigation and debridement, MUA, revision ACJR, distal clavicle excision, and removal of hardware were 2.6, 1.3, 4.2, 2.8, and 6.2 %, respectively. Patients ≥35 years of age and females more likely to undergo a reoperation after ACJR. Specifically, patients ≥35 years of age were more likely to undergo MUA and revision ACJR, while patients ≥50 years of age were more likely to undergo an irrigation and debridement. Females were more likely than males to undergo revision ACJR and distal clavicle excision.

Conclusions

Older patients and females were more likely to experience postoperative complications requiring reoperations, including revision ACJR, distal clavicle excision, and irrigation and debridement. By analysing a large cohort of patients across multiple centres and providers, this study provides valuable insight into the recent complication profiles of ACJR, allowing surgeons to appropriately counsel patients on the risks of these procedures.

Level of evidence

IV.

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Title: Early complications of acromioclavicular joint reconstruction requiring reoperation
Authors: Dean Wang
Benjamin E. Bluth
Chad R. Ishmael
Jeremiah R. Cohen
Jeffrey C. Wang
Frank A. Petrigliano
Publication date: 01-07-2017
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-016-4206-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Early complications of acromioclavicular joint reconstruction requiring reoperation

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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