Treatment of complete acromioclavicular dislocation: present indications and surgical technique with biodegradable cords.
We report a retrospective study of 48 patients with complete acromioclavicular dislocation (Tossy III). All patients (38 male; 10 female) with an average age of 33.4 years underwent surgery including PDS-augmentation. More than half of the injuries were caused by sport accidents. There were no complications during surgery. 87% of the patients were free of complaints and subjectively very satisfied with the surgical results. By radiological examination we diagnosed a subluxation of the clavicula in 25% of the cases and arthrosis in 17% of the cases. Assessment of subjective complaints, the clinical examination, and the radiological diagnostic according to the Taft Score (0-12 points) resulted in an average value of 10.2 points. The surgical intervention using PDS-cord augmentation in cases of complete acromioclavicular separation is a safe and economic method with a low complication rate. Advantages are possible early-functional treatment, no risk of movement of implants, and avoidance of metal removal.
Mönig
S P
SP
Department of Trauma, Hand and Reconstructive Surgery, Cologne University Hospital, Germany. MoenigSt@aol.com
Burger
C
C
Helling
H J
HJ
Prokop
A
A
Rehm
K E
KE
D020341:Absorbable Implants; D000328:Adult; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012782:Shoulder / Q000601:surgery*; D000070599:Shoulder Injuries