Surgical treatment of chronic complete acromioclavicular dislocation

International Orthopaedics
Faisal F Adam, Osama Farouk

Abstract

We treated surgically 14 patients with symptomatic complete dislocation of the acromioclavicular joint. The surgical procedure included reconstruction of the coracoclavicular ligament using the coracoacromial ligament as substitute, reconstruction of the acromioclavicular ligament, and imbrications of the deltotrapezius aponeurosis over the top of the distal clavicle. A temporary tension band between the clavicle and acromion was used to stabilize the joint. Two patients were lost to follow-up. Twelve patients were followed for an average of 20 (18-60) months. Functional outcome was assessed according to modified UCLA acromioclavicular rating scale. The results were excellent in eight patients, good in three, and fair in one. In one patient, there was loosening of the temporary fixation with subluxation of the clavicle.

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Citations

Sep 17, 2010·International Orthopaedics·Yon-Sik YooDo-Young Kim
Aug 23, 2008·Archives of Orthopaedic and Trauma Surgery·Murat BezerOsman Guven
Jan 1, 2008·International Journal of Shoulder Surgery·Aman SoodGregory Ian Bain
Aug 15, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tengfei SongTianwen Ye
Oct 17, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·J BarthUNKNOWN Société Française d’Arthroscopie
Jun 12, 2013·The American Journal of Sports Medicine·James H FlintJohn-Paul Rue
Jan 10, 2018·World Journal of Orthopedics·Christiaan J A van BergenArthur van Noort
May 8, 2009·Clinical Orthopaedics and Related Research·Keith BaldwinG Russell Huffman
Feb 27, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Francisco Xará-LeiteJoão Espregueira-Mendes
Dec 7, 2017·EFORT Open Reviews·Michele BoffanoRaimondo Piana
May 28, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Giuseppe SircanaGiuseppe Milano

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