Surgical treatment of acromioclavicular dislocation using the endobutton

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Traumatology

Background:

• Acute type III acromioclavicular (AC) dislocation is a significant shoulder injury.
• Surgical management is often indicated for type III AC dislocations to restore stability and function.

Purpose of the Study:

• To evaluate the clinical and radiographic outcomes of acute type III acromioclavicular dislocation treated with the Endobutton.
• To assess the efficacy and patient satisfaction associated with the Endobutton technique for AC joint injuries.

Main Methods:

• A prospective study involving 23 patients with acute type III acromioclavicular dislocation.
• Surgical treatment using the Endobutton device was performed by a single surgical team within 4 weeks of injury.
• Clinical outcomes were assessed using the University of California, Los Angeles (UCLA) score.

Main Results:

• The study included 23 patients (91.3% male), with the dominant side affected in 65.21% of cases.
• Excellent or good results (UCLA score) were achieved in 91.3% of patients (14 excellent, 7 good).
• Only 2 patients (8.69%) had regular results, indicating a high success rate.

Conclusions:

• The Endobutton technique is an effective method for treating acute type III acromioclavicular dislocations.
• The surgical approach leads to a high degree of patient satisfaction and favorable clinical outcomes.
• This technique provides a reliable solution for restoring AC joint stability and function.