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[Acromioclavicular dislocation management with use of Tight Rope luxation acromioclavicular con Tight Rope].

S Gaytán-Fernández1, L C Blanco-Ochoa1, R G Barragán-Hervella1

  • 1Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social (IMSS). Puebla, México.

Acta Ortopedica Mexicana
|April 8, 2020
PubMed
Summary

Acromioclavicular dislocation in active adults can be effectively treated with the Tight Rope technique. This method leads to a shorter hospital stay and quicker return to work within one year.

Keywords:
Managementacromioclavicular dislocationtight rope

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • The acromioclavicular (AC) joint is crucial for shoulder function and prone to injury, particularly in active young adults due to physical activity and accidents.
  • AC joint injuries, especially Grade III dislocations, significantly impact function and work capacity.

Purpose of the Study:

  • To evaluate the functional outcomes of patients with Grade III acromioclavicular dislocation treated using the Tight Rope technique.
  • To assess the one-year functional recovery and return-to-work status after surgical intervention.

Main Methods:

  • A prospective, longitudinal, unicentric study involving 17 post-operative patients diagnosed with Grade III AC joint dislocation.
  • Patients aged 18-45 years, active workers with injury evolution within 7 days, were included.
  • Treatment involved open reduction and dynamic stabilization with the Tight Rope system.

Main Results:

  • The study included 17 patients (82.4% male, 17.6% female) with an average age of 29.5 years.
  • The average duration of inability to work was 42.06 days.
  • The Tight Rope technique was applied to treat AC joint dislocations, with injuries occurring in both right and left shoulders.

Conclusions:

  • Open reduction and dynamic stabilization using the Tight Rope technique provide a short hospital stay.
  • This surgical approach facilitates a reduced period of work inability and promotes rapid reintegration into work activities.
  • Functional outcomes at one year post-surgery demonstrate the efficacy of the Tight Rope for AC joint dislocations.