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Arthroscopic fixation for acute acromioclavicular joint disruption using the TightRope device
Deepak Chaudhary1, Vineet Jain, Deepak Joshi
1Sports Injury Centre, Safdarjang Hospital, Delhi, India.
Journal of Orthopaedic Surgery (Hong Kong)
|December 31, 2015
Summary
Arthroscopic TightRope fixation for acute acromioclavicular (AC) joint dislocation provides satisfactory outcomes. This minimally invasive technique effectively reduces coracoclavicular distance and allows a good return to work.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Arthroscopy
Background:
- Acromioclavicular (AC) joint dislocations are common shoulder injuries.
- Surgical intervention is often required for severe AC joint separations.
- The TightRope device offers a minimally invasive option for AC joint stabilization.
Purpose of the Study:
- To evaluate the outcomes of arthroscopic fixation for acute AC joint dislocations using the TightRope device.
- To assess the efficacy and safety of this surgical technique.
Main Methods:
- Retrospective review of 17 patients (15 men, 2 women) with acute AC joint dislocations (Rockwood types III, IV, V).
- Arthroscopic fixation was performed using the TightRope device.
- Outcomes were assessed using the Constant score, and coracoclavicular (CC) distance was measured pre- and post-operatively.
Main Results:
- Mean follow-up was 22.1 months.
- Mean postoperative Constant score was 86.4.
- Significant reduction in CC distance was observed, with no over-correction. One patient experienced suture rupture, and two had partial loss of reduction due to osteolysis.
Conclusions:
- Arthroscopic fixation with the TightRope device is a satisfactory treatment for acute AC joint dislocations.
- The procedure demonstrates good functional outcomes and effective coracoclavicular reduction.
