[Improvement of bone fixation technics].

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Abstract

[Indexed for MEDLINE] 6. Arthroscopy. 2016 Aug;32(8):1558. doi: 10.1016/j.arthro.2016.05.029. Editorial Commentary: Are Larger Screws the Answer When Anatomic Reconstruction of an Acromioclavicular Separation Fails? Denard PJ(1). Author information: (1)Medford, Oregon. Comment on Arthroscopy. 2016 Aug;32(8):1551-7. doi: 10.1016/j.arthro.2016.01.050. Although fixation methods have improved, failure after fixation of an acromioclavicular joint separation is not uncommon. This biomechanical study shows that in the setting of graft slippage through previously well-placed clavicular tunnels, a revision anatomic reconstruction is feasible with larger tenodesis screws. Although the risk of clavicular fracture increases with larger tunnels, anatomic revision with larger screws is an option in select cases. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.arthro.2016.05.029