Surgical treatment of chronic acromioclavicular dislocation: Comparison between two surgical procedures for anatomic reconstruction

Gianfranco Fraschini, Pietro Ciampi, Celeste Scotti, Rosa Ballis, Giuseppe M. Peretti

Research output: Contribution to journalArticle

Abstract

Introduction: Surgical treatment of chronic complete acromioclavicular (AC) joint dislocation is still debated and no gold standard surgical procedure has been identified. Materials and methods: A retrospective series of 90 patients treated for AC dislocations is reported here. Patients were divided into three groups: group 1 receiving AC reconstruction with a Dacron vascular prosthesis; group 2 receiving AC reconstruction with LARS® artificial ligament; group 3 receiving conservative treatment. Follow-up was performed after 1, 6 and 15 months with plain radiographs, UCLA, SPADI and modified UCLA acromioclavicular rating scales. Results: Patients treated surgically presented significant better functional outcome compared to patients treated conservatively with overall positive results in 93.3% of patients for group 2 and 53.3% of patients for group 1. However, reconstruction with Dacron vascular prosthesis presented an unacceptable high complications rate (43.3%). Conclusion: Our results show that anatomic AC reconstruction with LARS ® artificial ligament resulted in both satisfactory functional outcome and low complication rate. Therefore, we recommend this procedure for the treatment of chronic complete AC dislocations.

Original languageEnglish
Pages (from-to)1103-1106
Number of pages4
JournalInjury
Volume41
Issue number11
DOIs
Publication statusPublished - Nov 2010

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Keywords

  • Acromioclavicular dislocation
  • Acromioclavicular joint
  • Functional outcome
  • Surgical treatment

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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