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A combined technique for acromioclavicular reconstruction after acute dislocation - technical description and
Diogo Lino Moura1, Augusto Reis E Reis1, João Ferreira1
1Shoulder Unit, Orthopedics Department, University Center and Coimbra Hospital, Coimbra, Portugal.
Surgical treatment for acute acromioclavicular joint dislocations yields excellent outcomes. The described technique is effective for Rockwood grades III-V, with high patient satisfaction and a low complication rate.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Acute acromioclavicular (AC) joint dislocation is a common shoulder injury.
- Rockwood classification grades AC joint injuries from I to V.
- Surgical intervention is considered for higher-grade dislocations.
Purpose of the Study:
- To describe a surgical approach for acute acromioclavicular joint dislocations.
- To evaluate clinical and functional outcomes of surgical treatment.
- To assess patient satisfaction and complication rates.
Main Methods:
- Observational retrospective study of 153 patients with acute AC joint dislocation (Rockwood grades III-V).
- Surgical intervention performed between 1999 and 2015.
- Clinical outcomes assessed using Constant score, complication incidence, return to work/sport, and satisfaction index. Radiological evaluation for reduction, degeneration, and calcifications.
Main Results:
- Mean Constant score of 96.45 for operated shoulders vs. 98.28 for contralateral shoulders.
- High patient satisfaction (98.69%).
- Worse outcomes for higher grades (IV-V); low complication rate (Kirschner wire failure, calcifications).
Conclusions:
- The described surgical technique is an excellent option for Rockwood grades III-V acute acromioclavicular joint dislocations.
- Excellent clinical and functional outcomes support surgical intervention.
- Low complication rates contribute to the effectiveness of the surgical approach.
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