Evidence map›Paper›PMID 42597692›Full record

ArticleJournal of orthopaedic case reports2026

Management of a Failed Infected Acromio-Clavicular Joint Fixation with Chronic Instability using Anatomical Hybrid Reconstruction Technique: A Case Report.

Ranajit Panigrahi, Aruddha Sarkar, Bharath Reddy Methuku, Anmol Arpan Nand

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ranajit PanigrahiDepartment of Orthopaedics, Hitech Medical College, Bhubaneswar, Odisha, India.
Aruddha SarkarDepartment of Arthroscopy and Sports Injury, Kalinga Hospital Limited, Bhubaneswar, Odisha, India.
Bharath Reddy MethukuDepartment of Arthroscopy and Sports Injury, Kalinga Hospital Limited, Bhubaneswar, Odisha, India.
Anmol Arpan NandDepartment of Arthroscopy and Sports Injury, Kalinga Hospital Limited, Bhubaneswar, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Biological augmentation of anatomic acromio-clavicular joint (ACJ) reconstruction should be considered in chronic ACJ dislocations because in chronic cases, there is a lack of intrinsic healing of the ligaments. Hybrid techniques which involve combination of fibertapes or tightropes with tendon graft have demonstrated native-like biomechanical properties and are thus a suitable mode of reconstruction for chronic ACJ dislocations. Case Report: We report a case of a 39-year-old right-hand-dominant male who presented to us with failed infected ACJ fixation with a hook plate along with wound dehiscence. The patient presented with pain, deformity, exposed implant, and restricted mobility of the shoulder. The patient was managed in two stages. In the first stage, implant removal was done along with debridement, and infection was controlled with suitable antibiotics. In the second stage, the chronic ACJ dislocation was managed by Mumford's procedure and hybrid fixation technique using ACJ fixation device with Semitendinosus tendon graft augmentation. Post-operative outcomes showed no signs of infection and considerable improvement in shoulder stability and range of movements. Conclusion: Anatomical ACJ reduction with suture button devices along with biological augmentation with a tendon graft is a more anatomical and definitive method of fixation of ACJ dislocations, particularly in chronic cases.

Indexed as

Acromio-clavicular jointbiological augmentationhook-platehybrid technique

Identifiers

PMID42597692
PMCPMC13470359

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