Dynamic repair of acromio-clavicular dislocation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Traumatology

Background:

• Acromio-clavicular (AC) joint dislocations are common shoulder injuries.
• Complete AC dislocation requires effective surgical management to restore function.
• Previous treatments have varied outcomes, necessitating evaluation of novel techniques.

Purpose of the Study:

• To evaluate the long-term efficacy of a specific surgical technique for complete acromio-clavicular dislocation.
• To assess patient outcomes based on pain, range of motion, deformity, and radiographic evidence.

Main Methods:

• A retrospective review of 20 patients treated between 1967 and 1973.
• Surgical intervention involved transposition of coraco-brachialia, short head of biceps, and pectoralis minor, with AC joint repair.
• Follow-up duration ranged from 1 to 6 years (average 3 years).

Main Results:

• 90% of patients achieved excellent results.
• 5% of patients had fair results.
• 5% of patients had poor results, with outcomes assessed by pain, motion, deformity, and X-rays.

Conclusions:

• The described surgical technique demonstrates a high success rate for treating complete acromio-clavicular dislocation.
• This method effectively addresses pain, restores shoulder motion, and corrects deformity.
• The findings support this surgical approach as a viable option for managing severe AC joint injuries.