Type III acromioclavicular joint dislocations- Is combined intra-articular K-wire and coracoclavicular screw fixation better than non-operative management?
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:85
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Chachan S, Tudu B, Sahu B
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A prospective randomized controlled clinical trial study was conducted to compare outcomes of operative management of type III acromioclavicular dislocations using combined intra-articular K-wire and coracoclavicular screw fixation against non-operative treatment. It included 54 (male=34, female=20) cases of type III acromioclavicular dislocations randomized into two groups A (operative) and B (non-operative). Group A cases underwent ORIF using combined intra-articular Kwire and coracoclavicular screw fixation. Group B cases were treated non-operatively using arm sling and rest. Mean follow-up period was 26.4 months (range=25-29). Maintenance of reduction was assessed by radiographic examination done pre-operatively and at follow-ups. Functional assessment was done using Constant Shoulder Score. Complications were recorded. Statistical analysis was done using unpaired Student’s T-test and p value <0.001 was considered significant. Mean Constant Shoulder scores for group A and B were 10.16 and 10.21 pre-operatively (p value= 0.94), 93 and 83.5 after 6 months (p value= <0.001) and 96.6 and 92.7 after one year (p value=<0.001), respectively. Complications reported from group A were hardware failure, heterotopic ossification, distal clavicle osteolysis and superficial stich infection and from group B were cosmetic deformity and intermittent pain around shoulder. In this study, operatively managed cases did significantly better than the non-operatively treated ones with faster and improved functional outcomes.
|How to Cite this Abstract|
|Chachan S, Tudu B, Sahu B . Type III acromioclavicular joint dislocations- Is combined intra-articular K-wire and coracoclavicular screw fixation better than non-operative management?. International Journal of Conference Proceedings 2015;(2015):85|