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Surgical treatment of Allman type III acromio-clavicular dislocation. A long-term follow-up study
V De Tullio1, R Orsi, M Celenza
1Ospedale Santi Antonio e Biagio, Divisione Ortopedia-Traumatologia, Alessandria, Italy.
Insights
Surgical treatment for Allman type III acromio-clavicular dislocation, specifically open fixation with threaded wires, yields good functional results with few complications. This approach is recommended for both young and older patients, challenging the notion of closed treatment validity.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Acromio-clavicular (AC) joint dislocations, particularly Allman type III, present complex treatment challenges.
- While closed treatment has been widely discussed, its long-term efficacy remains debated.
- Anatomical and pathological considerations support surgical intervention for AC joint injuries.
Purpose of the Study:
- To evaluate the long-term outcomes of surgical treatment for Allman type III acromio-clavicular dislocations.
- To advocate for open surgical treatment in both young and older patient populations.
- To compare the effectiveness of different surgical techniques for AC joint dislocation.
Main Methods:
- Long-term follow-up study of patients with Allman type III acromio-clavicular dislocation.
- Surgical intervention involving open reduction and internal fixation.
- Specific technique employed: acromio-clavicular fixation using threaded wires.
Main Results:
- Open surgical treatment demonstrated good functional outcomes in the long term.
- Acromio-clavicular fixation with threaded wires was associated with a short operation time.
- This preferred technique resulted in a low number of complications.
- The study supports the justification of open treatment for AC joint dislocations across age groups.
Conclusions:
- Open surgical treatment, particularly acromio-clavicular fixation with threaded wires, is a viable and effective option for Allman type III acromio-clavicular dislocations.
- The technique offers a favorable balance of short operative time, good functional results, and minimal complications.
- This approach is recommended for both younger and older individuals requiring surgical management of AC joint injuries.
Abstract:
The authors report the results of a long-term follow-up study of surgical treatment of Allman type III acromio-clavicular dislocation. Despite numerous publications regarding the validity of closed treatment, the authors believe, in accordance with the anatomo functional and pathological knowledge, that open treatment is justified not only in young people but in older ones too. Among the different techniques, the authors prefer acromio-clavicular fixation with threaded wires because the operation time is short and the functional results are good with the lowest number of complications.