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Outcome Of Arthroscopic Suspensory Fixation Systems In Acromioclavicular Joint Injuries

Outcome Of Arthroscopic Suspensory Fixation Systems In Acromioclavicular Joint Injuries

Mohamed Ibrahim, MD, EGYPT Ibrahim Mohsen, MD, PhD, EGYPT Mohamed Safaa Eldeen Arafa, MD, EGYPT Haytham Abdel Aty, MD, PhD, EGYPT Kamal Abdel Meguid, MD, PhD, Prof., EGYPT Alexandre Lädermann, MD, SWITZERLAND

fayoum faculty of medicine, fayoum, Egypt, EGYPT


2021 Congress   ePoster Presentation     Not yet rated

 

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Summary: Arthroscopic suspensory indirect coracoclavicular fixation yields satisfactory clinical and functional results


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.


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