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A New Technique for Solving Tightrope Cutout during Acromioclavicular Joint Fixation: A Case Report
B W Ng1, A F Abdullah1, S Nadarajah1
1Department of Orthopaedics, Melaka Hospital, Melaka, Malaysia.
Malaysian Orthopaedic Journal
|April 25, 2017
Summary
Acromioclavicular joint (ACJ) dissociation, a common adult injury, can be treated with TightRope fixation. A modified technique using a tubular plate successfully addressed intraoperative suture cutout in a Type III ACJ dissociation case.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Trauma Surgery
Background:
- Acromioclavicular joint (ACJ) dissociation is a frequent injury in adults.
- ACJ stability relies on ligaments and surrounding muscles.
- Rockwood classification guides treatment for ACJ injuries.
Observation:
- TightRope fixation is a surgical option for ACJ separation.
- Complications like suture cutout can occur with TightRope fixation.
- A case of Type III ACJ dissociation experienced intraoperative suture cutout.
Findings:
- The surgeon modified the TightRope fixation by adding a tubular plate to secure the metallic button.
- This modification addressed the intraoperative suture cutout.
- The patient showed significant improvement in the UCLA Shoulder Score six months post-surgery.
Implications:
- This modified technique offers a potential solution for intraoperative TightRope fixation complications.
- It may improve outcomes for patients with ACJ dissociation.
- Further studies could validate this modified approach in managing ACJ injuries.
