Using Suture Anchors in the Treatment of an Acromioclaviclar Dislocation / 대한정형외과학회잡지

ABSTRACT

PURPOSE: We introduce a surgical technique using suture anchors in the treatment of acromioclaviclar dislocation. MATERIALS AND METHODS: Eighteen patients, who underwent surgery (using a suture anchor) for an acute acromioclavicular joint dislocation, were followed up minimum of six months. The clinical results on Imatami clinical scoring and serial radiology findings were analyzed. RESULTS: Most of the cases showed satisfactory results. The clinical evaluation showed that seven cases (39%) were excellent and ten cases (56%) were good. Serial radiographic finding (preoperative, postoperative, postoperative 6 months) was evaluated. The mean preoperative, postoperative and postoperative 6 months coracoclavicular interval ratios were 2.41, 0.9 and 1.21, respectively. The early complications encountered were one case of a superficial infection at the insertion site of the smooth pin and one case of smooth pin migration. CONCLUSION: The use of suture anchors in the treatment of an acromioclaviclar dislocation is a superior method cosmetically due to the need for only a small operative incision, minimal destruction of acromioclaricular joint, secure fixation to early physical exercise and require additional surgery to remove the internal fixative.