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Complete acromioclavicular dislocations: treatment with a Dacron ligament
Injury
|May 1, 1991
Summary
A novel Dacron ligament technique effectively treats complete acromioclavicular dislocations (Tossy III), offering dynamic fixation with good to excellent outcomes in 19 of 20 patients. This method ensures anatomical reduction and faster recovery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Complete acromioclavicular dislocation (Tossy III) presents treatment challenges.
- Previous surgical methods like Phemister and Bosworth have shown suboptimal results.
- Non-operative management is increasingly considered but may not always yield optimal outcomes.
Purpose of the Study:
- To evaluate the efficacy of a Dacron ligament cerclage for dynamic fixation in complete acromioclavicular dislocations.
- To assess the functional outcomes and complication rates of this surgical technique.
Main Methods:
- A series of 20 patients with Tossy III acromioclavicular dislocations were treated.
- Dynamic fixation was achieved using a Dacron ligament to maintain clavicle reduction.
- Follow-up assessment included clinical outcomes and duration of sick leave.
Main Results:
- 19 out of 20 patients achieved good or excellent results.
- The mean follow-up period was 3.9 years.
- Average sick leave was 3.3 weeks, significantly shorter than other methods.
Conclusions:
- Cerclage with a Dacron ligament is an effective treatment for complete acromioclavicular dislocations.
- The technique offers advantages including ease of procedure, no need for pins, and short immobilization.
- This method achieves a high rate of anatomical reduction with a low complication rate.