J Korean Orthop Assoc.  2001 Apr;36(2):121-126.

Reconstruction of Dislocated Acromioclavicular Joint Augmented with Absorbable Sutures

• Koo BS
• Kim KC
• Shin HK
• Hwang JH

Abstract

PURPOSE: We have studied the result of a modified Weaver-Dunn technique using absorbable sutures and imbrication of deltotrapezial fascia for the treatment of the dislocation of acromioclavicular joints.
MATERIALS AND METHODS
Seventeen dislocations treated with the operative technique. Followed-up after at least 18 months postoperatively were retrospectively analyzed using the UCLA rating scale score, radiological films and occurrence of postoperative complications.
RESULTS
Overall results were excellent in 7 (41%), good in 8 (47%) and poor in 2 cases (12%) according to UCLA rating system. The effect of age on the outcome was not significant but the result was better for early operations than late operations. Forward elevation loss was found in the group that was older than 39 years. The clavicle was anatomically reduced and maintained in 13 cases (76%).
CONCLUSION
Modified Weaver-Dunn technique using absorbable sutures is a good treatment for acromioclavicular dislocations and imbrication of deltotrapezial fascia is important in stabilizing the joint.

Keyword

Acromioclavicular joint; Complete dislocation; Modified Weaver-dunn technique

MeSH Terms

Acromioclavicular Joint*
Clavicle
Dislocations
Fascia
Joints
Postoperative Complications
Retrospective Studies
Sutures*