The clinical outcome of the 'Surgilig' technique for the reconstruction of acromioclavicular dislocations: A systematic review

Michael-Alexander Malahias; Thomas Sarlikiotis; Emmanouil Brilakis; Dimitrios Gerogiannis; Grigorios Avramidis; Emmanouil Antonogiannakis

doi:10.1016/j.jor.2019.09.011

The clinical outcome of the 'Surgilig' technique for the reconstruction of acromioclavicular dislocations: A systematic review

J Orthop. 2019 Sep 11:18:126-131. doi: 10.1016/j.jor.2019.09.011. eCollection 2020 Mar-Apr.

Authors

Michael-Alexander Malahias¹, Thomas Sarlikiotis², Emmanouil Brilakis¹, Dimitrios Gerogiannis¹, Grigorios Avramidis¹, Emmanouil Antonogiannakis¹

Affiliations

¹ 3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, Marousi, 15123, Athens, Greece.
² 1st Department of Orthopaedic Surgery, Agia Sophia Childrens' Hospital, Thivon 1, Athens, 11527, Greece.

Abstract

Purpose: To investigate whether the 'Surgilig' technique is safe and effective for the treatment of patients suffering from acromioclavicular joint (ACJ) dislocations graded as Rockwood's type III or higher.

Methods: A systematic review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.

Results: The failure rate of the "Surgilig" implant was very low (3.5%), while patients' satisfaction was high (88.3%). However, the quality of most studies was low.

Conclusions: There is low evidence to show that the reconstruction of ACJ dislocations with the 'Surgilig' technique could be a safe and effective treatment.

Keywords: Acromioclavicular joint dislocation; Braided polyester synthetic ligament; LockDown technique; Surgilig technique; Systematic review.