FUNCTIONAL OUTCOME OF SURGICAL STABILISATION OF ACROMIOCLAVICULAR JOINT DISLOCATION

Dr VARKEY S KULANGARA; Dr. SHIBU ANDREWS; Dr. JOSE FRANCIS

Volume : VII, Issue : X, October - 2017

FUNCTIONAL OUTCOME OF SURGICAL STABILISATION OF ACROMIOCLAVICULAR JOINT DISLOCATION

Dr Varkey S Kulangara, Dr. Shibu Andrews, Dr. Jose Francis

Abstract :

Acromio – clavicular joint dislocation corresponds to 8.6% of all joint dislocations The purpose of this study is to determine the functional outcome of operative treatment of Type III and above severity, of acromio clavicular dislocations. 30 patients with acromioclavicular joint dislocations fitting the inclusion criteria were selected. The AC joint is reset manually, and the joint is stabilized with either 2 parallel non–threaded K–wires from the lateral edge of the acromion into the clavicle and tension banding using steel wire, or with 1 partially threaded 4.5–mm coracoclavicular cancellous screw. Functional outcome assessed after 6 months using Constant–Murley Shoulder Outcome Score. Out of 30 patients, 18 had coracoclavicular screw fixation and 12 had tension band wiring across AC joint. Average Constant Murley Shoulder Outcome score was 91.27. Excellent results were obtained for 23 cases (77%) and good results for 7 cases (23%). Surgical stabilisation is a good method for treating acromioclavicular joint dislocations type 3 and above . Post operative rehabilitation and proper follow up are necessary for good functional outcome.