• Arch Orthop Trauma Surg · Sep 2021

    BiPOD arthroscopically assisted bidirectional stabilisation technique for high-grade acromioclavicular joint injury: two-year clinical and radiological outcomes.

    • Richard J Murphy, Benedikt Ambuehl, Michael O Schaer, Johannes Weihs, Beat K Moor, and Matthias A Zumstein.
    • Shoulder, Elbow and Orthopaedic Sports Medicine, Orthopaedics Sonnenhof, 3006, Bern, Switzerland.
    • Arch Orthop Trauma Surg. 2021 Sep 1; 141 (9): 1559-1565.

    PurposeThe purpose of this study was to evaluate the intermediate-term clinical and radiological outcomes for acute, unstable acromioclavicular joint (ACJ) injuries treated with the arthroscopically assisted BiPOD stabilisation technique.MethodsTwenty-three patients who sustained acute, unstable ACJ injuries were included in this prospective study. We recorded demographics, injury classification, time to surgery, clinical scores, radiological outcomes and complications; each patient completed a minimum of 2 years post-operative observation.ResultsMean follow-up was 26 months (range, 24-34). Clinical outcomes scores demonstrated good 2-year results: relative Constant score, 97.9/100; ACJ Index, 89.4/100; Subjective Shoulder Value, 92.4/100 and Taft = 11.1/12. Final C-C distance showed a mean of 0.7 mm (SD ± 1.8 mm) at 2 years. Complication rate was 9%.ConclusionThe BiPOD technique shows excellent, reliable intermediate-term results with a favourable complication rate compared to existing techniques; it provides a comprehensive surgical option for the stabilisation of acute ACJ injuries restoring both vertical and horizontal stability.© 2021. The Author(s).

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