title: Treatment of complete acromioclavicular dislocation: present indications and surgical technique with biodegradable cords.
abstract: 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.
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Cologne University Hospital, Germany. MoenigSt@aol.com
authors.forename: S P
authors.initials: SP
authors.lastname: Mönig
authors.forename: C
authors.initials: C
authors.lastname: Burger
authors.forename: H J
authors.initials: HJ
authors.lastname: Helling
authors.forename: A
authors.initials: A
authors.lastname: Prokop
authors.forename: K E
authors.initials: KE
authors.lastname: Rehm
mesh_terms: 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