First experience of the surgical treatment of acute dislocation of clavicle acromial end

Authors

DOI:

https://doi.org/10.15674/0030-59872015411-16

Keywords:

acromioclavicular joint, ligaments restoration, arthroscopy of shoulder joint, fixation of acromial end of clavicle

Abstract

 Over 100 methods of the surgical treatment of the dislocation of clavicle acromial end is known nowadays. Anatomic-biomechanic peculiarities of acromioclavicular joint and its ligamentous appa­ratus stipulate such a variety, at first, and secondly, this fact shows some disadvantages of every method. Moreover, it was defined, that complete restoration of function does not happen in 16.5–35.2 % cases. This fact shows the relevance of working out and implementa­tion of new treatment techniques. The goal: to improve the results of treatment of acromioclavicular joint injury using the restoration of coracoclavicular ligament with arthroscopic control. Methods: 5 patients (at the age from 18 to 42 years) with acute injury of ac­romioclavicular joint underwent an operation using arthroscopic equipment. The fixation of joint was carried out with «AKK rigging / АКК Такелаж» system in high-endurance nonabsorbable material. Immobilization duration in triangular bandage was equal to 2–3 weeks depending upon the severity of pain syndrome. Follow-up controls (clinical and radiographic assessment) were performed 1 and 3 months after surgery. Results: using of the method proposed for restoration of acute injures of acromioclavicular joint allowed to obtain good and excellent results in all patients after surgery. The range of motion in shoulder joint was restored in all patients completely. The proposed technique means surgery through little incisions (0.5 cm) that provide good cosmetic results. A positive feature of proposed technique is a minimal operation trauma, as far as you have not to expose a clavicle and subclavicular space for drilling it and fixator implementation. Conclusion: using of arthroscopic equipment for the restoration of acromioclavicular joint facilitates decreasing of operation trauma, terms of immobi­lization, allows predicting positive long-term results and restoring complete motion in shoulder joint.

References

  1. Patent. 62957 С2 Ukraine, IPC (2006.01) А61В 17/58. A device for soft tissue fixation to bone and bone to bone, "ACJ-Takelazh / Golovakha M. L., Shyshka I. V., Banit O. V., Babich Y. A., Tverdovski А. О., Zabelin I. N.; applicant and patentee Zaporozhye State Medical University, Golovakha M. L., Shyshka I. V., Banit O. V., Babich Y. A., Tverdovski А. О., Zabelin I.N. — № u201101376; Appl. 07.02.2011; publication. 26.09.2011, bulletin № 18.
  3. Patent. UA 82256 Ukraine, IPC (2006.01) A61V 17/56. A method of treating acute dislocation of acromial end of the clavicle / Golovakha M. L., Banit O. V., Krasnopyorov S. N., Zabielin I. N., Babich J. A., Tverdovskiy A. O. applicant and patentee Zaporozhye State Medical University , Golovakha M. L., Banit O. V., Krasnopyorov S. N. — № u201301908; appl. 18.02.2013, publ. 25.07.2013, Bull. Number 14.
  5. Stolyarov А. А. Minimally invasive method of surgical treatment of acromioclavicular dislocation: A thesis for the degree of Candidate of Medical Sciences / А. А. Stolyarov. — Moscow, 2011. — 152 p.
  7. Acromioclavicular joint dislocations: Outcomes of open and arthroscopic methods of treatment at a district general hospital / J. Yates, R. Singhal, S. Dheerendra [et al.] // Injury Extra. — 2012. — Vol. 43. — Р. 46.
  9. Arthroscopic reconstruction of chronic AC joint dislocations by transposition of the coracoacromial ligament augmented by the Tight Rope device: a technical note / H. Hosseini, S. Friedmann, M. Troеger [et al.] // Knee Surg. Sports Traumatol. Arthrosc. — 2009. — Vol. 17. — Р. 92–97.
  10. Arthroscopic reconstruction of the acromioclavicular joint disruption: surgical technique and preliminary results / Bancha Chernchujit, Thomas Tischer, Andreas B. Imhoff // Arch Orthop Trauma Surg. — 2006. — Vol. 126. — Р. 575–581.
  11. Endoscopically assisted reconstruction of acute acromioclavicular joint dislocation using a synthetic ligament. Outcomes at 12 months / G. Cohen, P. Boyerc, N. Pujol [et al.] // Orthopaedics & Traumatology: Surgery & Research . 2011. — Vol. 97. — Р. 145–151.
  12. ISAKOS Upper extremity committee consensus statement on the need for diversification of Rockwood classification for acromioclavicular joint injuries / K. Beitzel, A. D. Mazzocca, K. Bak [et al.] // J. of Arthroscopic and Related Surger. — 2014. — Vol. 30, № 2. — Р. 271–278.
  14. Management of acute acromioclavicular joint dislocation with a double-button fixation system / A. Beris, M. Lykissas, I. Kostas-Agnantis [et al.] // Injury. — 2013. — Vol. 1. — Р. 27–32.

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How to Cite

Golovakha, M., Shishka, I., & Zabielin, I. (2015). First experience of the surgical treatment of acute dislocation of clavicle acromial end. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 11–16. https://doi.org/10.15674/0030-59872015411-16

Issue

No. 4 (2015)

Section

ORIGINAL ARTICLES

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Copyright (c) 2015 Maksim Golovakha

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