title: Arthroscopic fixation for acute acromioclavicular joint disruption using the TightRope device.
abstract: OBJECTIVE
  To review outcome after arthroscopic fixation for acute acromioclavicular (AC) joint dislocation using the TightRope device.
  
  
  METHODS
  Records of 15 men and 2 women aged 19 to 52 (mean, 35) years who underwent arthroscopic fixation using the TightRope device for acute (<3 weeks) AC joint dislocation of Rockwood type III (n=6), type IV (n=1), and type V (n=10) were reviewed. Outcome was evaluated using the Constant score. The coracoclavicular (CC) distance before and after surgery was compared.
  
  
  RESULTS
  The mean follow-up period was 22.1 (range, 12-37) months. The mean time to return to work was 4 (range, 1.5-12) months, excluding one failure. The mean postoperative Constant score was 86.4 (range, 63-96). The CC distance decreased from 21.5±5.2 mm preoperatively to 9.8±3.5 mm at 6 months and to 10±3.2 mm at one year. There was no over-correction. All patients had satisfactory outcome except for one who had rupture of the TightRope suture at 6 months. Two patients had partial loss of reduction (≥2 mm) after 3 to 6 months secondary to osteolysis at the clavicular button site.
  
  
  CONCLUSIONS
  Arthroscopic fixation using the TightRope device for acute AC joint dislocation achieves satisfactory outcome.
authors.affiliation: Sports Injury Centre, Safdarjang Hospital, Delhi, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Chaudhary
authors.forename: Vineet
authors.initials: V
authors.lastname: Jain
authors.forename: Deepak
authors.initials: D
authors.lastname: Joshi
authors.forename: Jitesh Kumar
authors.initials: JK
authors.lastname: Jain
authors.forename: Ankit
authors.initials: A
authors.lastname: Goyal
authors.forename: Nitin
authors.initials: N
authors.lastname: Mehta
mesh_terms: D000173:Acromioclavicular Joint; D000328:Adult; D001182:Arthroscopy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: acromioclavicular joint; shoulder dislocation