Mini-open approach for stabilization of acute complete acromioclavicular dislocation | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 49, Issue 4, October 2014, Page 320-325 PDF (1.31 MB) | ||||
| DOI: 10.4103/1110-1148.154094 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Hatem S.A. Elgohary; Naser M. Selim | ||||
| Abstract | ||||
| Background Complete acromioclavicular joint dislocation can be treated by means of surgical stabilization with or without reconstruction of the coracoclavicular ligaments. Many operative techniques through open and arthroscopic approaches have been described. The aim of the study was to evaluate the results of using the mini-open approach for stabilization of acute complete acromioclavicular dislocation. Patients and methods This prospective study evaluates the results of treatment of 14 patients with complete acromioclavicular dislocation at Mansoura emergency hospital. The study describes fixation of acromioclavicular joint dislocation performed through the mini-open approach using a partially threaded cancellous screw for fixation of the clavicle to the coracoid process. The Constant–Murley score was used for evaluation. Results All patients were satisfied with the results of their surgery. On the basis of the Constant–Murley score, 12 patients (85.7%) had excellent results, two patients (14.3%) had good results, and no patient had poor results. There was no infection, soft-tissue ossification, bone erosion, recurrent deformity, or painful scar. Conclusion Complete acromioclavicular joint dislocation can be treated successfully by means of screw fixation using the mini-open approach. It is a simple and reliable method of fixation with a lower incidence of complications and is performed through a cosmetic approach. | ||||
| Keywords | ||||
| acromioclavicular; clavicle; mini approach | ||||
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