2021 ISAKOS Biennial Congress ePoster
Outcome Of Arthroscopic Suspensory Fixation Systems In Acromioclavicular Joint Injuries
Mohamed Ibrahim, MD, Fayoum, egypt EGYPT
Ibrahim Mohsen, MD, PhD, fayoum, Egypt EGYPT
Mohamed Safaa Eldeen Arafa, MD, Elfayoum, Elfayoum EGYPT
Haytham Abdel Aty, MD, PhD, fayoum, Egypt EGYPT
Kamal Abdel Meguid, MD, PhD, Prof., fayoum, Egypt EGYPT
Alexandre Lädermann, MD, Meyrin, Geneva SWITZERLAND
fayoum faculty of medicine, fayoum, Egypt, EGYPT
FDA Status Cleared
Summary
Arthroscopic suspensory indirect coracoclavicular fixation yields satisfactory clinical and functional results
ePosters will be available shortly before Congress
Abstract
Background
Acromioclavicular joint is a commonly injured joint with many described
surgical procedures for its management, However, no single choice can be considered
as a golden standard management. Recently, development of suspensory fixation
devices was emerged to fix and reconstruct coracoclavicular ligaments with shifting
towards its application using arthroscopic technique. This study aimed to assess 6-
month follow up of arthroscopic fixation using coracoclavicular suspensory fixation
device in acute acromioclavicular joint dislocations.
Methods
Prospective clinical study was conducted during period between January
2018 till December 2020. An overall 24 shoulders with a mean age of 33.6 years
(range, 21-47 years) with acute acromioclavicular joint dislocations were subjected to
early arthroscopic fixation using coracoclavicular suspensory fixation devices. The
mean follow-up duration was 16.5 months (range, 6-24 months). Post-operative clinical
and radiological evaluation for all patients was implemented.
Results
Mean Constant-Murley score at 6 months post-operative was 89.6 (range, 64
to 100). Mean VAS score improved from 8.8 pre-operative to 1.3 at 6 months postoperative.
Mean coracoclavicular distance decreased in follow-up x-rays compared to
the pre-operative ones from 21.8mm to 11.1mm. Complications encountered were
radiological signs of joint arthritis in 33.3%, partial loss of reduction in 16.4%, and 1
case of superficial wound infection.
Conclusions
Application of coracoclavicular fixation systems using shoulder
arthroscopy technique provides quite easy, reproducible, minimally invasive technique
for acute acromioclavicular joint management that corrects associated deformity,
leaves minimal wounds, and does not need second operation for buttons extraction.
Keywords: Arthroscopic Coracoclavicular Fixation Systems, Acromioclavicular Joint Injuries, Tightrope, Ziploop ToggleLoc.