Sadaf Sadeghi Yazdankhah
Assistant Professor, Iran
Title: A New Modification for Coracoclavicular Ligament Augmentation Technique in Patients with Total Acromioclavicular Joint Dislocation
Biography
Biography: Sadaf Sadeghi Yazdankhah
Abstract
Background: Acromioclavicular joint dislocation is one of the most common shoulder problems in general orthopedics practices. The aim of this study is to evaluate a modified augmentation technique for AC joint dislocations in order to change the suture knot location to sub-clavicular position.
Methods: Seventy-two patients with type IV and V acromioclavicular joint dislocation were operated with this modified technique. A 1mm doubled Ethibond suture is entangled between two flip buttons. For this attachment, the Ethibond cerclage is performed through the flip buttons via their internal eyelets, but in modified method the two limbs of stitches are between the two flip buttons.
Results: The main mechanism of injury in fifty seven patients was motor vehicle accident and in 15 other patients was falling trauma. The SST demonstrated statistically significant improvement (P < 0.05).Total UCLA score demonstrated an improvement from a mean and SD of 23.21 ± 3.46 before surgery to 34.03 ± 2.39 post surgery, with 63 shoulders achieving excellent or good scores (87.5%) and 9 having a fair score (12.5%).