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A new method of arthroscopic reconstruction of the dislocated acromio-clavicular joint
S P Trikha1, D Acton, A J Wilson
1Department of Orthopaedic Surgery, Kingston NHS Trust, Surrey, UK. ptrikha@doctors.org.uk
Background:
Symptomatic total acromio-clavicular joint dislocation (Rockwood et al. types III-VI) may be treated by surgical reconstruction.
Aim:
To describe an arthroscopically assisted technique to reconstruct anatomically the coraco-clavicular ligaments in acute or chronic (> 6 weeks) acromio-clavicular joint dislocation.
Methods:
This new technique involves arthroscopic exposure of the coracoid process. Prior to introducing this technique, cadaveric studies were undertaken.
Results:
Five patients underwent this procedure. All engaged in regular sports or manual-type work. All patients were discharged the same day with the shoulder immobilised for 4 weeks, with no heavy lifting for 3 months. All patients were pain-free at 6 weeks with full function and maximum Constant scores at 3 months. There have been no complications.
Conclusions:
A new, safe technique is described which provides a cosmetically acceptable, anatomically solid reconstruction of the coraco-clavicular ligaments.
