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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2011, Number 6

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Acta Ortop Mex 2011; 25 (6)

Surgical treatment of acromioclavicular dislocation with minimally invasive surgery

Aburto-Bernardo M, Muñoz-Jiménez A, Igualada-Blázquez C, Mediavilla-Santos L, Vaquero-Martín J
Full text How to cite this article

Language: Spanish
References: 9
Page: 359-365
PDF size: 79.22 Kb.


Key words:

dislocation, shoulder, acromioclavicular, joint, surgery.

ABSTRACT

Introduction: Treatment of grade III Rockwood acromioclavicular lesions continues to be controversial. A new surgical technique for reduction using minimally invasive surgery provides good results. The purpose of this paper is to present the short and medium term results of a series of patients with grade III acromioclavicular dislocations who underwent surgery. Methods: Prospective assessment of a series of 14 patients with acromioclavicular dislocation who underwent surgery from May 2009 to June 2010 consisting of open reduction and synthesis with coracoclavicular fixation with a double anchor. Radiologic, functional and personal satisfaction parameters were assessed. Results: Statistically significant radiologic results were obtained, which reflect a correct reduction. An «excellent» mean score was obtained in the functional assessment using the Imatani test. Patients reported subjective satisfaction during the interviews at the outpatient visits. Conclusions: There are only a few papers reporting postoperative results with this surgical technique. Without a control group it is not possible to make a comparison with orthopedic treatment, so comparisons were made with published series using classical techniques. The surgical technique provides similar results; it is simple, inexpensive and has not shown to have any postoperative complications during a mean follow-up of 13.7 months. Surgical treatment of grade III acromioclavicular lesions using this surgical technique has provided appropriate results in this group of patients.


REFERENCES

  1. Urist MR: “Complete dislocation of the acromioclavicular joint”. J Bone Joint Surg Am 1963; 45: 1750-3.

  2. Wurtz LD, Lyons FA, Rockwood CA: “Fracture of the middle third of the clavicle and dislocation of the acromioclavicular joint. A report of four cases”. J Bone Joint Surg Am 1992; 74(1): 133-7.

  3. Arthrex Inc. (2006) “Arthroscopic stabilization of acute acromioclavicular joint dislocation using the Thight Rope System: Surgical technique”. Naples, FL; Arthrex, 2006.

  4. Richards A, Potter D, Learmonth D, Tennent D: “Arthroscopic stabilization of acute distal clavicle fractures and dislocations using Tight Rope syndesmosis repair system”. Presented at the Annual Meeting of the Arthroscopy Association of North America, Vancouver, BC, May 2005.

  5. Wellmann M, Zantop T, Petersen V: “Minimally invasive coracoclavicular ligament augmentation with a flip button/polydioxanone repair for treatment of total acromioclavicular joint dislocation”. Arthroscopy 2007; 23(10): 1132 e1-5.

  6. Bosworth BM: “Acromioclavicular dislocation: End-results of screw suspension treatment”. Ann Surg 1948; 127(1): 98-111.

  7. Corella F, Ortiz-Espada A, López-Capapé D, Ocampos-Hernández, Calvo-Haro JA, Vaquero-Martín J: “Tratamiento quirúrgico de las luxaciones acromioclaviculares con la técnica de Phemister. Revisión de resultados a largo plazo”. Patología del Aparato Locomotor 2006; 4(13): 157-66.

  8. Warren-Smith CD, Ward MW. “Operation for acromioclavicular dislocation. A review of 29 cases treated by one method”. J Bone Joint Surg Br 1987; 69(5): 715-8.

  9. Shin SJ, Yun YH, Yoo JD: “Coracoclavicular ligament reconstruction for acromioclavicular dislocation using 2 suture anchors and coracoacromial ligament transfer”. Am J Sports Med 2009; 37(2): 346-51.




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Acta Ortop Mex. 2011 Nov-Dic;25