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A modified technique of reconstruction for complete acromioclavicular dislocation: a prospective study.
Tony G Tienen1, Jan F C H Oyen, Peter J G M Eggen
1Department of Orthopaedics, Elkerliek Hospital, Helmond, The Netherlands.
The American Journal of Sports Medicine
|September 17, 2003
Summary
This study introduces a new surgical technique for complete acromioclavicular dislocations, showing promising results for athletes. The modified reconstruction allows a high return to sports pain-free within months.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Surgical Innovation
Background:
- Complete acromioclavicular (AC) dislocations lack a definitive primary treatment.
- Various operative and nonoperative methods exist, but optimal management remains debated.
Purpose of the Study:
- To present a novel surgical technique for treating severe AC joint dislocations.
- The technique involves anatomic reduction, coracoacromial ligament transfer, and fixation with absorbable suture cord.
Main Methods:
- A modified reconstruction technique was applied to 21 patients.
- Inclusion criteria: Rockwood type V AC dislocation and pre-injury status as competitive athletes.
- Follow-up assessed return to sport, pain, functional scores, and radiographic outcomes.
Main Results:
- 18 of 21 patients returned to sports pain-free within 2.5 months.
- Mean follow-up was 35.7 months, with an average Constant score of 97.
- Radiographs showed anatomic reduction in 18 patients; 1 redislocation occurred due to infection.
Conclusions:
- The described technique offers operative simplicity and effective clavicular reduction augmentation.
- It demonstrates a low recurrence rate, making it a viable option for active athletes with AC dislocations.