Open Access
American Research Journal of Orthopedics and Traumatology
ISSN (Online): 2572-2964
DOI: 10.46568/arjot
Reduction of Acromioclavicular Joint Type III Injuries and Coracoclavicular Ligament Reconstruction Using Semitendinosus Tendon Autograft and A Triple Suture-Cerclage
Orthopaedic Department, Faculty of Medicine, Zagazig University, Egypt
Mohammed M. Mansour, MD, Mohamed A. Abdelsalam, MD. “Reduction of Acromioclavicular Joint Type III Injuries and Coracoclavicular Ligament Reconstruction Using Semitendinosus Tendon Autograft and A Triple Suture-Cerclage”. American Research Journal of Orthopedics and Traumatology; V2, I1; pp: 1-7.
Abstract
Background: The management of acute Rockwood type III Acromioclavicular joint (ACJ) dislocation remains controversial. Good-to-excellent results can be obtained with nonsurgical management, however, surgical management for type III acute ACJ dislocation restores joint anatomy, thus avoiding obvious deformity, persistent pain and residual symptoms.
Methods: In this prospective studynineteen (14 men, 5 women) patients, withRockwood type III (ACJ) dislocation, underwent coracoclavicular (CC)ligament reconstructive surgery using a semitendinosus autograft and a triple non-absorbable suture-cerclage. The mean patient age was 33.1 years (range, 19-46). All patients were evaluated clinically preoperativeand at final follow-up usingVisual Analogue Scale,Constant Shoulder Score and DASH scoreand evaluatedradiologicallypreoperative, on the second day postoperative and at final follow-upusingCoracoclavicular distance (CCD) difference to the unaffected side.The mean follow-up was 25 months (range, 18-37).
Results: At the final follow-up, the Visual Analogue Scale (mean 0.7) revealed a good to excellent clinical outcome. The mean Constant-Murley score was 95.2 (range 77–100). The DASH score (mean 3.52 points). The difference in the CCD compared to the contralateral side was <5 mm for 17 patients, between 5-10 mm for 2 patients. In the anteroposterior (AP) plane, 19 (100%) of the patients maintained complete reduction.
Conclusion: Acromioclavicular joint reduction with reconstruction of the coracoclavicular ligament using semitendinosus tendon autograft and a triple non-absorbable suture-cerclageappears to be a good means with satisfactory clinical and radiological results for treating acute Rockwood type II Acromioclavicular dislocation.
Methods: In this prospective studynineteen (14 men, 5 women) patients, withRockwood type III (ACJ) dislocation, underwent coracoclavicular (CC)ligament reconstructive surgery using a semitendinosus autograft and a triple non-absorbable suture-cerclage. The mean patient age was 33.1 years (range, 19-46). All patients were evaluated clinically preoperativeand at final follow-up usingVisual Analogue Scale,Constant Shoulder Score and DASH scoreand evaluatedradiologicallypreoperative, on the second day postoperative and at final follow-upusingCoracoclavicular distance (CCD) difference to the unaffected side.The mean follow-up was 25 months (range, 18-37).
Results: At the final follow-up, the Visual Analogue Scale (mean 0.7) revealed a good to excellent clinical outcome. The mean Constant-Murley score was 95.2 (range 77–100). The DASH score (mean 3.52 points). The difference in the CCD compared to the contralateral side was <5 mm for 17 patients, between 5-10 mm for 2 patients. In the anteroposterior (AP) plane, 19 (100%) of the patients maintained complete reduction.
Conclusion: Acromioclavicular joint reduction with reconstruction of the coracoclavicular ligament using semitendinosus tendon autograft and a triple non-absorbable suture-cerclageappears to be a good means with satisfactory clinical and radiological results for treating acute Rockwood type II Acromioclavicular dislocation.
Keywords
acromioclavicular joint; dislocation; coracoclavicular ligament; reconstruction.
