Trueba-Davalillo C, Rueda-Villarón O, Orbezo FG

Language: Spanish
References: 11
Page: 76-48
PDF size: 26.73 Kb.

ABSTRACT

Objective. This retrospective trial was carried out for comparing the results of three surgical procedures, for treatment of complete achromio-clavicular dislocation, which is an extremely disabling injury that impairs normal function of the upper extremity. Material and methods. A series of 45 patients who had complete hospital records was classified into three groups of 15 patients each for comparison of the results of three different operative techniques as follows: group A, 11 mm distal end of clavicle resection alone (Mumford); group B, reduction of clavicle without resection (Bosworth) and group C, 13 mm distal end of clavicle resection and reduction as well as ligament plasty (Weaver-Dunn). Such parameters as pain, range of motion and global results were assessed after an average follow-up of 9 years (4 to 14). Results. According to the Darrow scale of pain results for group A were good in 6, fair in 4 and poor in 5; for group B were good in 1, fair in 6 and poor in 8; for group C were good in 7, fair in 4 and poor in 4. Only a compound figure of 15 cases (31%) had a good result related to pain, which is a rather low rate. According to motion evaluation, significant poor movement occurred in 57% in group B patients, 35% in group A and 25% in group C. It is clear that overall results were somewhat better in group C patients in whom resection of clavicle and ligament plasty was performed. On the other hand, worst results were obtained in those patients of group B in whom joint reconstruction was intended with no resection of the lateral end of clavicle. Conclusion. No exceptional good procedure is currently available for the complete recovery of function of the achromio-clavicular joint. However, lateral bone resection and choraco-clavicular ligament plasty appear to be the safest technique for treatment of achromio-clavicular dislocation.

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