title: [Surgical treatment of acute acromioclavicular dislocation. Preliminary report].
abstract: BACKGROUND
  Determining what is the ideal acute management of type III lesions is controversial. The reconstruction of coracoclavicular ligaments is a fundamental part of the surgical management of these lesions.
  
  
  METHODS
  The records of patients with acute acromioclavicular dislocation treated with open reduction and fixation with highly resistant sutures were reviewed. The preliminary results were assessed at the 3-month follow-up.
  
  
  RESULTS
  Twelve patients were included, all of them males; mean age was 28 years. Three were Rockwood grade III, one grade IV, and 8 grade V. The mean time elapsed between the injury and the surgery was 9 days. According to the Constant scale 11 patients had excellent results and one had good results. Only one patient developed a seroma. Radiographic reduction was maintained in all patients.
  
  
  CONCLUSIONS
  The anatomical reconstruction of coracoclavicular ligaments reduces complications considerably, especially when such reconstruction is made using materials with a grip strength similar to the one offered by native ligaments.
authors.affiliation: Servicio de Hombro y Codo, Hospital General Xoco, Av. México Coyoacán S/N, Benito Juárez, Gral Anaya, 03340 Ciudad de México, D.F..
authors.forename: V
authors.initials: V
authors.lastname: González-Erreguín
authors.affiliation: Servicio de Hombro y Codo, Hospital General Xoco, Av. México Coyoacán S/N, Benito Juárez, Gral Anaya, 03340 Ciudad de México, D.F..
authors.forename: J
authors.initials: J
authors.lastname: Morales-Villanueva
keywords: Dislocation; acromioclavicular; cerclage; loop; sutures