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Operation for acromioclavicular dislocation. A review of 29 cases treated by one method
1Princess Alexandra Hospital, Royal Air Force, Wiltshire, England.
The Journal of Bone and Joint Surgery. British Volume
|November 1, 1987
Summary
Surgery for acromioclavicular dislocation using coracoid process fixation is effective for acute and late cases. This surgical approach offers rapid recovery, minimal complications, and avoids secondary procedures, making it a preferred treatment option.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Traumatology
Background:
- The optimal surgical treatment for acromioclavicular (AC) dislocation remains debated.
- Conservative management may lead to persistent pain and functional deficits.
Purpose of the Study:
- To evaluate the effectiveness of surgical fixation of the clavicle to the coracoid process for AC dislocation.
- To assess outcomes in both acute and chronic AC dislocation cases.
Main Methods:
- A retrospective review of 29 patients treated with clavicle-to-coracoid fixation for AC dislocation.
- Assessment of functional recovery, complication rates, and need for revision surgery.
Main Results:
- The surgical technique demonstrated effectiveness in both acute and late-presenting AC dislocations.
- Patients experienced a rapid return to work and daily activities.
- A low incidence of surgical complications and no requirement for secondary procedures were observed.
Conclusions:
- Clavicle-to-coracoid fixation is an effective surgical option for AC dislocation.
- This method provides reliable outcomes with minimal complications, supporting its role when surgical intervention is indicated.