Management of Type 3 Acromioclavicular Joint Dislocation: Comparison of Long-Term Functional Results of Two Operative MethodsReportar como inadecuado

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ISRN SurgeryVolume 2012 2012, Article ID 580504, 6 pages

Clinical Study

Department of Orthopaedics, South Tyneside Hospital, South Shields NE34 0PL, UK

Department of Orthopaedics, Princess Royal Hospital, Telford TF1 6TF, UK

Received 11 March 2012; Accepted 18 April 2012

Academic Editors: S. Nitecki and J. Y. Wang

Copyright © 2012 Hari Kovilazhikathu Sugathan and Ronald Martin Dodenhoff. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Treatment of Rockwood Type 3 Acromioclavicular joint dislocation is controversial. We compared the long-term functional outcome of early repair of coracoclavicular ligament and internal fixation Tension Band Wiring with delayed reconstruction by modified Weaver-Dunn procedure for Type 3 dislocations. Method. Retrospective analysis of case records and telephone review to assess the long-term functional outcome by patient satisfaction and Oxford shoulder score. Results. We had 18 cases of Type 3 Acromioclavicular dislocations over a period of 10 years. 7 cases had Tension Band Wiring and 11 cases had modified Weaver-Dunn procedure. Early repair group has higher risk 71% of post operative complications compared to that of the delayed reconstruction group 9%. All 5 patients who developed postoperative complications in the early repair group required a second operation for metal work removal. Long-term functional results of both groups were comparable in terms of Oxford shoulder score and patient satisfaction. Conclusions. We recommend modified Weaver-Dunn procedure for failed conservative management of Grade 3 Acromioclavicular joint dislocation for the following reasons 1. better short-term functional outcome, low risk of complications and hence faster recovery 2. no need for a second surgery.

Autor: Hari Kovilazhikathu Sugathan and Ronald Martin Dodenhoff



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