Comparison of endobutton and tendon graft techniques in acromioclavicular joint dislocation: Early treatment yields...

This study aims to compare the clinical outcomes of coracoclavicular fixation using the endobutton (EB) technique versus tendon grafts (TGs) and examine the impact of early surgical intervention on functional outcomes in patients with acute Rockwood type III, IV, and V acromioclavicular joint dislocations.

This retrospective study encompasses 35 patients with acute Rockwood type III, IV, and V acromioclavicular joint dislocations who underwent coracoclavicular fixation surgery employing either the EB or hamstring TG techniques between January 2016 and January 2020. Patients were classified into 2 groups: the EB group and the TG group. Clinical outcomes were measured using the Visual Analog Scale (VAS), Disabilities of the Arm, Shoulder, and Hand questionnaire, and Constant score preoperatively and postoperatively.

The Constant-subjective and Meler scores of the EB group were significantly higher than those of the TG group. Postoperative EB group VAS scores were significantly lower than those of the TG group (P = .029). Furthermore, the Constant-objective scores of patients who underwent surgery within 3 weeks were significantly higher (P = .010). Additionally, the VAS scores of patients whose surgery occurred within 3 weeks were significantly lower than those of patients who had surgery after 3 weeks (P = .048).

Early surgical treatment of acromioclavicular joint separation leads to higher Constant scores. Moreover, irrespective of the surgical technique, patients who underwent surgery within the first 3 weeks post-injury had lower VAS scores.

Level III, retrospective.