Functional Outcomes in Patients with Acromioclavicular Dislocation Treated with Coracoclavicular Stabilization and Acromioclavicular Cerclage
Abstract
Introduction: The treatment of acromioclavicular dislocations using a coracoclavicular stabilization system with high-strength sutures achieves reduction of the dislocation and maintains acromioclavicular joint stability. However, some modifications incorporate additional surgical techniques, such as acromioclavicular cerclage, to provide stabilization in different planes. Objective: To evaluate functional outcomes, functional scores, and complications in patients with acromioclavicular dislocations treated with coracoclavicular stabilization and acromioclavicular cerclage. Materials and Methods: Forty-two patients with traumatic type IIIb, IV, or V acromioclavicular dislocations of less than 2 weeks’ duration were prospectively evaluated. Patients with associated fractures or glenohumeral instability were excluded. The Visual Analog Scale and the Constant-Murley score were used. Results: The mean age was 31.26 ± 10.7 years, and most patients were female (54.8%). After surgery, 71.4% of patients went from experiencing severe pain (7-10 points) to no pain (0 points). The Constant-Murley score improved from 1.17 ± 0.37 before treatment to 3.88 ± 0.32 after treatment, reflecting an improvement in the patients’ clinical condition. Conclusions: Coracoclavicular stabilization with acromioclavicular cerclage is a valid treatment option that provides good functional outcomes and improved scores in patients with acute type IIIb, IV, or V acromioclavicular dislocations.Downloads
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