Treatment of acute rockwood type 5 acromioclavicular dislocations with the tightrope technique: Retrospective 2-year results
Journal of Experimental and Clinical Medicine (Turkey), cilt.41, sa.3, ss.754-757, 2024 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 41 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.52142/omujecm.41.4.12
- Dergi Adı: Journal of Experimental and Clinical Medicine (Turkey)
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier
- Sayfa Sayıları: ss.754-757
- Anahtar Kelimeler: acromioclavicular joint, coracoclavicular ligament, shoulder injuries, TightRope technique
- Süleyman Demirel Üniversitesi Adresli: Evet
Özet
Acromioclavicular dislocation is a shoulder pathology with an incidence of 9-12%. A definitive treatment method has yet to be established. This study aimed to evaluate the treatment outcomes of acute traumatic Rockwood Type 5 acromioclavicular dislocations managed with the Tightrope technique. The preoperative data and 2-year postoperative outcomes were retrospectively analyzed for patients who underwent shoulder arthroscopy-assisted surgery in our clinic between 2018 and 2022. Evaluations were made of the Constant score, DASH score, acromioclavicular distance and the coracoclavicular distance. The Constant score, acromioclavicular distance and the coracoclavicular distance, showed statistically significant improvements from preoperative to 2-year postoperative evaluations (p < 0.05). In 39 patients, full reduction was achieved, with no significant differences in radiological measurements compared to the contralateral shoulder. Postoperative imaging revealed insufficient reduction in 3 patients. The Tightrope fixation method in Rockwood Type 5 acromioclavicular dislocations can be considered successful in the long term, offering the advantages of minimally invasive incisions and no need for implant removal.