[Temporary extra-articular Bosworth' fixation in complete shoulder joint separation. Follow-up results of 41...

41 patients were reviewed who suffered from complete separation of the acromioclavicular joint which was operated on with an extraarticular clavicular coracoid fixation by means of a Bosworth screw. In 82% of the cases a subjective and functionally good to excellent result was found. Only one patient complained about difficulties in managing daily life. One patient showed a subluxation of the acromioclavicular joint in X-ray with 10kp extension, all other patients demonstrated stabile relations of the ligaments. The coraco-clavicular calcifications of the ligaments increased with the number of months after operation without a negative influence on functions. An operation without much irritation and in a short period of time, the early beginning of functional therapy and the impressive results of the review show that the technique after Bosworth appears superior to other comparable procedures.