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Management of Type 3 Acromioclavicular Joint Dislocation : Comparison of Long-Term Functional Results of Two Operative Methods
Joint Authors
Kovilazhikathu Sugathan, Hari
Dodenhoff, Ronald Martin
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-13
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Treatment of Rockwood Type 3 Acromioclavicular joint dislocation is controversial.
We compared the long-term functional outcome of early repair of coracoclavicular ligament and internal fixation (Tension Band Wiring) with delayed reconstruction by modified Weaver-Dunn procedure for Type 3 dislocations.
Method.
Retrospective analysis of case records and telephone review to assess the long-term functional outcome by patient satisfaction and Oxford shoulder score.
Results.
We had 18 cases of Type 3 Acromioclavicular dislocations over a period of 10 years.
7 cases had Tension Band Wiring and 11 cases had modified Weaver-Dunn procedure.
Early repair group has higher risk (71%) of post operative complications compared to that of the delayed reconstruction group (9%).
All 5 patients who developed postoperative complications in the early repair group required a second operation for metal work removal.
Long-term functional results of both groups were comparable in terms of Oxford shoulder score and patient satisfaction.
Conclusions.
We recommend modified Weaver-Dunn procedure for failed conservative management of Grade 3 Acromioclavicular joint dislocation for the following reasons (1).
better short-term functional outcome, low risk of complications and hence faster recovery (2).
no need for a second surgery.
American Psychological Association (APA)
Kovilazhikathu Sugathan, Hari& Dodenhoff, Ronald Martin. 2012. Management of Type 3 Acromioclavicular Joint Dislocation : Comparison of Long-Term Functional Results of Two Operative Methods. ISRN Surgery،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-482404
Modern Language Association (MLA)
Kovilazhikathu Sugathan, Hari& Dodenhoff, Ronald Martin. Management of Type 3 Acromioclavicular Joint Dislocation : Comparison of Long-Term Functional Results of Two Operative Methods. ISRN Surgery No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-482404
American Medical Association (AMA)
Kovilazhikathu Sugathan, Hari& Dodenhoff, Ronald Martin. Management of Type 3 Acromioclavicular Joint Dislocation : Comparison of Long-Term Functional Results of Two Operative Methods. ISRN Surgery. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-482404
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482404