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[The management of complete shoulder joint dislocation without metallic implants].
1Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universität Köln.
Der Unfallchirurg
|October 1, 1991
Summary
This study reinforced the acromioclavicular joint using polydioxanon cords in 14 patients. The method showed comparable outcomes to standard procedures, avoiding metal implant removal.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Acromioclavicular joint injuries often require surgical stabilization.
- Traditional methods may involve metal implants with potential complications.
Purpose of the Study:
- To evaluate the efficacy of polydioxanon cords for acromioclavicular joint stabilization.
- To assess outcomes and complications associated with this absorbable material.
Main Methods:
- Surgical reinforcement of the acromioclavicular joint in 14 patients.
- Utilized completely absorbable polydioxanon cord for fixation.
Main Results:
- 12 patients had good outcomes (function, X-ray, pain).
- 2 patients had poor outcomes.
- 3 cases experienced cord rejection with fistula formation, resolving with local treatment.
- No second surgery for implant removal was needed.
Conclusions:
- Polydioxanon cords offer a viable alternative for acromioclavicular joint stabilization.
- The complication rate is comparable to existing methods, with the advantage of avoiding metal implants.