Reconstruction of the acromioclaviular joint disruption by anchor sutures: surgical technique and preliminary results

ABSTRACT

Over hundred different surgical procedures have been described for the reconstruction of acromioclavicular joint separation however the use of anchor sutures tied over a small button plate was introduced for the reconstruction because of its biomechanical superiority. Our objective was to propose a new technique of acromioclavicular joint surgery and to evaluate the preliminary results of this technique. Fifteen patients with a mean follow up of 12 months underwent the acromioclavicular joint reconstruction using anchor sutures and a small button plate. The mean age was 31 years [range 19-48 years]. The shoulder was evaluated using the Constant-Murely Shoulder Score and radiographs. Indication for surgery included acromioclavicular joint dislocation Rockwood type IV-V. All patients returned to their work within 11.2 [range 8-18] weeks after operation. The average constant score at last follow up was 92.8. Postoperative radiographs confirmed anatomic reduction in all patients. Residual subluxation. occurred in one patient and dislocation occurred in another. All patients except one were satisfied with results and cosmetic appearance. Considering its less morbidity, no need of hardware removal and minimal complications from breakage or migration of metal implants, this new technique offers good alternative in acromioclavicular joint stabilization