IJOCP | July 2017 | Volume 2017 | Issue 2017 | Page 124

Conference: EFORT – 2017, Vienna, Austria [Click for full details] 

Authors: Mohammad Abdelaal, Muhammad Khalifa, Bilal Al Yafawi

Authors Affiliations: Rashid Hospital, Dubai, United Arab Emirates.

Address of correspondence: Dr.Mohammad Abdelaal, Rashid Hospital, Dubai, United Arab Emirates. E-mail: abdelaal@outlook.com


Abstract
 
   
                                                                                      

Background
Disruption of the coracoclavicular ligament is a common occurrence. In many cases, the injury can be treated conservatively and only residual problem is that of a mild cosmetic deformity. Operative treatment of acromioclavicular joint injuries is recommended for higher degree dislocations. Recently a new option has become available with the minimally-invasive tight rope technique.

Objectives
To evaluate radiographic and functional results of minimally invasive tight rope fixation of Rockwood type IV or higher acromioclavicular joint dislocation.

Study Design & Methods
A retrospective study of 40 patients with unilateral acute dislocated AC joints were treated with reduction & stabilization with tight rope using minimally invasive techniques between 2012 and 2015.Exclusion criteria were–type I & II, -duration more than 3 weeks, age groups less than 20 or more than 50 years old and associated ipsilateral coracoid fracture .Patients were evaluated at 6 weeks postoperatively and at 3, 6 & 12-month intervals .Functional evaluation was assessed with the use of the Constant score.The patients had an average follow-up of 24 months (15-36 ). The mean age was 37 years (22-49 years) .32 patients were males and 8 were females.13 patients had right side AC joints whereas 27 were left sided. 6 cases were type III, 3 cases were type IV, 30 cases were type V and one case was type VI.

Results
Shorter operation time was seen (64.3 ± 19.8 min.). Patients left hospital earlier (2 ±1d p = 0.002).The Constant scores rose from 62.3 ± 6.9 preoperatively to 94.5 ± 9.3 at final evaluation. Severe complications (i.e. a fracture of the clavicle or neurovascular damage) was not seen. Early loss of reduction (n = 4), impaired wound healing (n = 1) and impingement syndrome (n = 3) were recorded.

Conclusions
This procedure is a valid and safe option for the treatment of acute complete AC joint dislocations. Usage of the tight rope technique offered advantages, such as being a minimally-invasive technique and showed a tendency towards shorter operation time and lower physician,total operation and theater costs. It can provide strong enough stabilization, allow earlier shoulder mobilization postoperatively. These advantages of this procedure produce good clinical and radiographic outcomes.

Keywords: 

Tight Rope Technique, Acromioclavicular Joint Dislocation, Reconstruction, Surgery

How to Cite this Abstract
Abdelaal M, Khalifa M , Al Yafawi B. Surgical Fixation Of Acute AC Joint Dislocation Using Tight Rope. International Journal of Conference Proceedings July 2017;(2017):125