scholarly journals Prospective study of functional outcome in the management of type 3 acromioclavicular joint disruption by suture disc technique augmented with Mersilene tape and distal clavicular resection

2021 ◽  
Vol 7 (2) ◽  
pp. 89-93
Author(s):  
Dr. Madan Mohan Ballal ◽  
Dr. Chidananda KJC ◽  
Dr. Nagegowda KN ◽  
Dr. Muthu Kishore M
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Acromioclavicular Joint ◽  
Mersilene Tape ◽  
Type 3 ◽  
Joint Disruption ◽  
Clavicular Resection

scholarly journals Management of Type 3 Acromioclavicular Joint Dislocation: Comparison of Long-Term Functional Results of Two Operative Methods

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Hari Kovilazhikathu Sugathan ◽  
Ronald Martin Dodenhoff
Keyword(s):  
Functional Outcome ◽  
Acromioclavicular Joint ◽  
Functional Results ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation ◽  
Early Repair ◽  
Type 3 ◽  
Repair Group ◽  
Delayed Reconstruction

Introduction. Treatment of Rockwood Type 3 Acromioclavicular joint dislocation is controversial. We compared the long-term functional outcome of early repair of coracoclavicular ligament and internal fixation (Tension Band Wiring) with delayed reconstruction by modified Weaver-Dunn procedure for Type 3 dislocations. Method. Retrospective analysis of case records and telephone review to assess the long-term functional outcome by patient satisfaction and Oxford shoulder score. Results. We had 18 cases of Type 3 Acromioclavicular dislocations over a period of 10 years. 7 cases had Tension Band Wiring and 11 cases had modified Weaver-Dunn procedure. Early repair group has higher risk (71%) of post operative complications compared to that of the delayed reconstruction group (9%). All 5 patients who developed postoperative complications in the early repair group required a second operation for metal work removal. Long-term functional results of both groups were comparable in terms of Oxford shoulder score and patient satisfaction. Conclusions. We recommend modified Weaver-Dunn procedure for failed conservative management of Grade 3 Acromioclavicular joint dislocation for the following reasons (1). better short-term functional outcome, low risk of complications and hence faster recovery (2). no need for a second surgery.

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