Study of outcome of management of chronic acromioclavicular joint dislocation with palmaris longus autograft and tension band wiring
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: The management of chronic Rockwood type III, IV, V nad VI Acromioclavicular joint (ACJ) dislocation remains controversial. Good-to-excellent results can be obtained with nonsurgical management, however, surgical management of ACJ dislocation restores joint anatomy, thus avoiding obvious deformity and gives overall better outcome. Methods: In this prospective study ten patients (7 men, 3 women), with Rockwood type III (ACJ) dislocation, underwent coracoclavicular (CC) ligament reconstructive surgery using a palmaris longus tendon graft and tension band wiring across AC joint. All patients were evaluated clinically preoperative and at subsequent follow-ups using Visual Analogue Scale and Constant Murley Shoulder Score, and radiologically comparing Coracoclavicular distance(CCD) of injured to the normal side on preoperative radiograph, on the second day postoperative and at final follow-up. The mean follow-up was 12 months (range: 10-18 months). Results: At the final follow-up, the Visual Analogue Scale (mean 0.8) revealed a good to excellent clinical outcome. The mean Constant-Murley score was 93.4 (range 74–96). The difference in the CCD of injured side compared to the contralateral side was <5mm for 9 patients and between 5-10 mm for 1 patients at final follow up. Conclusion: This study concludes that Acromioclavicular joint reduction with tension band wiring and reconstruction of the coracoclavicular ligament using palmaris longus tendon autograft provides good functional outcome with satisfactory clinical and radiological results for Chronic AC joint injuries. However larger group case series is required to further evaluate this procedures outcome.
Authors and Affiliations
Dr. Rishit Soni, Dr. Jay Turakhiya, Dr. Parth Rathi, Dr. Maulik Jhaveri, Dr. Ronak Shah, Dr. Paresh Golwala
Keywords
Related Articles
- EP ID EP487601
- DOI 10.22271/ortho.2018.v4.i3f.55
- Views 127
- Downloads 0
Pre-contoured locking plates vs. conventional reconstruction plates in AO type C distal humerus fractures: A prospective randomized study
Background: Reconstruction plates have been used from a long time for fixation of distal humerus fractures. Locking plates are increasingly used now-a-days. The aim of this study is to compare the radiological and functi...
Evaluation of surgical treatment of inter-condylar humerus fracture with olecranon osteotomy approach
Background: Inter-condylar fracture distal humerus in adults often pose a challenge to orthopaedic surgeons because of the complex anatomy, fracture pattern and limited bone stock of this region. Adequate exposure of the...
An atypical type of Monteggia equivalent: A case report
Monteggia fracture dislocations comprise about 5-10 % of all forearm fractures in adults and was first described in 1814. Since then there has been many descriptions of Monteggia equivalents. We present a case of 47 year...
Study of clinical out-come and prevalence of multi-drug resistance in spinal tuberculosis and detection with gene-expert test, antibiotic susceptibility pattern
We have conducted a study of 40 cases on Clinical out come and Prevalence of Multi-Drug Resistant in Spinal Tuberculosis and detection with Gene-Expert Test, Antibiotic susceptibility pattern in our Anil Neerukonda Hospi...
Functional and radiological outcome of percutaneous pinning in the management of extra-articular distal radius fractures
Introduction: Distal radius fractures are common injuries encountered in orthopaedics casualty. Range of fracture extends from simple extra-articular to highly comminuted intra-articular fractures. 1, 2 Restoration of wr...