Complete acromioclavicular dislocations: treatment with a Dacron ligament.
A series of 20 patients was treated for a complete acromioclavicular dislocation (Tossy III). Reduction of the clavicle is maintained by a Dacron ligament, which provides dynamic fixation. The mean follow-up period was 3.9 years. For 19 patients the results were good or excellent; in one case the result was poor. Advantages of the method described are ease of the procedure, absence of pins and a 1-week period of immobilization. An important result is the short sick leave with an average of 3.3 weeks, which is favourable compared with other operative and non-operative methods. The recent tendency to treat complete acromioclavicular dislocations non-operatively is based on the poor results of the Phemister and Bosworth operation; however, cerclage with a Dacron ligament has a low complication rate and gives a high percentage of anatomical reduction. It is therefore considered an effective method to treat complete acromioclavicular dislocations.
Stam
L
L
Department of Surgery, University of Limburg, The Netherlands.
Dawson
I
I
D000173:Acromioclavicular Joint / Q000293:injuries* / Q000601:surgery; D000328:Adult; D002968:Clavicle / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D010149:Postoperative Pain; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications; D012189:Retrospective Studies; D012782:Shoulder / Q000503:physiopathology
D011093:Polyethylene Terephthalates