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[Grade III acromioclavicular dislocation treated with a minimally invasive approach]
J R Algarín1, J D Salcedo, J O Rodríguez
1Hospital Cruz Roja Mexicana Polanco. limp_9wes@yahoo.com.mx
Acta Ortopedica Mexicana
|January 21, 2011
Summary
Minimally invasive surgery (MIS) effectively treats type III acromioclavicular dislocations. Patient outcomes assessed by UCLA and DASH evaluations show favorable long-term results for this surgical approach.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Minimally Invasive Procedures
Background:
- Type III acromioclavicular (AC) dislocations represent a significant challenge in orthopedic care.
- Traditional surgical interventions may involve substantial morbidity.
- Evaluating less invasive options is crucial for optimizing patient recovery and function.
Purpose of the Study:
- To assess the efficacy of minimally invasive surgery (MIS) for treating type III AC dislocations.
- To evaluate patient outcomes using the University of California, Los Angeles (UCLA) rating scale and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.
Main Methods:
- Prospective, longitudinal, observational study.
- 42 patients with type III AC dislocations underwent MIS.
- Surgical technique involved percutaneous reduction, screw fixation, washer, and Kirschner wires.
Main Results:
- 86% of patients achieved excellent to good results on the UCLA test.
- 80% reported no or mild difficulty with daily activities per the DASH questionnaire.
- 14% and 18% experienced partial/poor results or moderate/severe difficulty, respectively.
Conclusions:
- Minimally invasive surgery (MIS) demonstrates good efficacy in managing type III AC dislocations.
- Long-term functional outcomes, as measured by UCLA and DASH, support MIS as a viable treatment option.
- MIS offers a promising approach for type III AC dislocations with favorable patient-reported outcomes.