Is tension band wiring a gold standard method in management of Acromioclavicular injuries - A prospective study
Journal Title: National Journal of Clinical Orthopaedics - Year 2017, Vol 1, Issue 2
Abstract
Introduction: Acromioclavicular (AC) joint injuries represent a broad spectrum that can result in mild, transient pain to significant displacement, chronic pain & altered shoulder biomechanics resulting in disability. The aim & objective of this study is mainly to analyze the functional outcome of complete acromioclavicular injuries treated with modified Tension Band Wiring. 30 cases of acromioclavicular disruption (type III – V) were treated with open reduction and modified tension band wiring. Closed acromioclavicular joint injuries (Rockwood and Young type III-VI) with acute onset in between 20-65 years were included. Chronic disruption & compound injuries were excluded. After obtaining an aesthetic fitness, open reduction & modified tension band wiring was done. Post operative X-rays assessed. All patients underwent a standardized post operative protocol with imobilisation in strapping for 21 days. Gentle shoulder mobilization started after 3 weeks. Functional outcome assessed at regular interval at 6, 12, 24 weeks using Dash & Constant scores. Results: At the last follow-up, 28 patients had an excellent outcome as assessed by two scoring systems The Constant score & DASH scores. One patients had good outcome. One patient had fair outcome. Conclusion: Modified Tension band wiring in traumatic Acromioclavicular injuries has resulted in excellent functional outcome. Even though there is risk of breakage of implant and need for implant removal it has the advantage of being cost effective & gold standard method.
Authors and Affiliations
Dr. K Muthukumar, PST Jambukeswaran, Dr. T Sathish Kumar
Keywords
Related Articles
- EP ID EP506725
- DOI -
- Views 54
- Downloads 0
Salvaging a segmental defect of the tibia using the Huntington’s procedure: A case report
Background: Historically, gap non-unions of the tibia arising due to infections or trauma resulted in an amputation. However, with the advent of modern surgical techniques, such injuries can now be salvaged. Various tech...
Management of proximal humeral fractures with philos locking plate: A prospective study
Introduction: Proximal humeral fractures are the second most common fractures of the upper extremity accounting for 4% to 5% of all fractures. The treatment of proximal humeral fractures is divided into non-operative and...
Functional outcome of primary flap coverage and bony fixation of severe open fractures: A prospective observational study
Introduction: Improved understanding of open fracture pathology, techniques of fracture fixation, soft-tissue care, and antimicrobial treatment has resulted in a significant reduction of morbidity and mortality associate...
A comparative study of the results of conservative therapy, intra-articular steroid injection therapy and intra-articular hyaluronic acid injection therapy in primary osteoarthritis of knee: A prospective study in eastern Indian population
Background:To compare the results of intra articular steroid, intra articular hyaluronic acid and conservative therapy, in primary osteoarthritis of knee. There are many literature comparing the efficacy between hyaluron...
Retrospective evaluation of infections occurring in patients undergoing treatment with locking reconstruction plates for fracture of clavicle bone
Background: The treatment of choice for majority of midshaft clavicular fractures was conservative with a sling bandage. This was because the incidence of non union was higher after open reduction as compared to those wh...