Surgical Treatment of Acromioclavicular Dislocation Grade III or IV with thigh Rope System, a retrospective study on the Clinic of Traumatology-Skopje in the period of 2015 to 2018
Date Issued
2019
Author(s)
Vejseli, Valentin
Ilie, Mila
Abstract
Introduction: Acromioclavicular (AC)
dislocation is a common injury with incidence
of 3 to 4 per 100 000 in the general
population. It is more common in younger
athletic patients. In 1984, Rockwood
modified Tossy et al and Allman
classification to include types IV, V, and VI
and we use that classification. The aim of our
study is to evaluate surgical treatment of AC
dislocation grade III or IV with Tight Rope
system and functional results.
Materials and Methods: On the Clinic of
Traumatology, Skopje in the period of 2015
to 2018 year were treated 32 patients with
type III (14 patients) or IV AC dislocation (18
patients) with female to male ratio 0.45
(f:m=10:22). Inclusion criteria were applied
to all patients. Three radiographic views were
used: AP view, true axillary view and stress
view of both sides of the AC joint and CC
ligament. Surgical technique for thight rope
technique was performed.
Results: Dash (Disabilities of the Arm,
Shoulder and Hand) and VAS (Visual
Analogue Scale) scores were evaluated
preoperatively and postoperatively. The
DASH questionnaire was used as an indicator
of the impact of an impairment on the level
and type of disability.
Conclusions: The technique proved to be
effective in treating acute AC dislocations
(Rockwood type III or IV) with a high degree
of excellent and good functional results.
dislocation is a common injury with incidence
of 3 to 4 per 100 000 in the general
population. It is more common in younger
athletic patients. In 1984, Rockwood
modified Tossy et al and Allman
classification to include types IV, V, and VI
and we use that classification. The aim of our
study is to evaluate surgical treatment of AC
dislocation grade III or IV with Tight Rope
system and functional results.
Materials and Methods: On the Clinic of
Traumatology, Skopje in the period of 2015
to 2018 year were treated 32 patients with
type III (14 patients) or IV AC dislocation (18
patients) with female to male ratio 0.45
(f:m=10:22). Inclusion criteria were applied
to all patients. Three radiographic views were
used: AP view, true axillary view and stress
view of both sides of the AC joint and CC
ligament. Surgical technique for thight rope
technique was performed.
Results: Dash (Disabilities of the Arm,
Shoulder and Hand) and VAS (Visual
Analogue Scale) scores were evaluated
preoperatively and postoperatively. The
DASH questionnaire was used as an indicator
of the impact of an impairment on the level
and type of disability.
Conclusions: The technique proved to be
effective in treating acute AC dislocations
(Rockwood type III or IV) with a high degree
of excellent and good functional results.
File(s)![Thumbnail Image]()
Loading...
Name
8-72-PB.pdf
Size
3.62 MB
Format
Adobe PDF
Checksum
(MD5):39adaa17135c846c2a4bcb2081957fac