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The evaluation and results of the surgery in the acromioclavicular joint dislocations
Ali Ata 1 , Murat Yilmaz 1 , Melih Malkoç 2 , Özgür Korkmaz 2 , Akın Uğraş 2 , Ercan Çetinus 1
1 Haseki Training and Research Hospital, Department of Orthopaedics and Traumatology Istanbul, Turkey
2 Medipol University School of Medicine Department of Orthopaedics and Traumatology Istanbul, Turkey
1 Haseki Training and Research Hospital, Department of Orthopaedics and Traumatology Istanbul, Turkey
2 Medipol University School of Medicine Department of Orthopaedics and Traumatology Istanbul, Turkey
Abstract
The aim of this study is to evaluate the results of patients with acromioclavicular joint (AC) dislocation treated surgically in terms of current literature.
Material and Method. 26 patients with acute AC joint dislocation that were treated surgically were evaluated. Four of the patients were female and twenty two were male. Treatment method for 16 patients were coracoclavicular screw fixation and for 10 patients acromioclavicular kirschner wire (k-wire) fixation.
Results. Patients were evaluated with radiological findings and clinic scorings (VAS, Quick DASH, Constant Score). Mean VAS score was 1.58 (distribution 0-4), mean Quick DASH score of the patients was 8.13 (distribution 0-36.36) and mean constant functional shoulder score was 90.61 (distribution 66-100). Radilogically, one of the patients (3.8%) had major coracoclavicular calcification and ankylosis of coracoclavicular and acromioclavicular joint.
Conclusion. We recommend transfixation with k-wire or coracoclavicular screw fixation for patients with type 3 AC joint dislocation likewise type 4 and type 5 AC dislocation patients.
Key words:
acromioclavicular joint, dislocation, coracoclavicular ligament
Full article:
The evaluation and results of the surgery in the acromioclavicular joint dislocations
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