Using Suture Anchors in the Treatment of an Acromioclaviclar Dislocation

Lee, Tong Joo; Park, Seung Rim; Kim, Myung Ku; Moon, Kyoung Ho; Choi, Sung Wook; Kim, Kyung Hoon; Bae, Joo Han

Abstract

PURPOSE: We introduce a surgical technique using suture anchors in the treatment of acromioclaviclar dislocation.
MATERIALS AND METHODS
Eighteen patients, who underwent surgery (using a suture anchor) for an acute acromioclavicular joint dislocation, were followed up minimum of six months. The clinical results on Imatami clinical scoring and serial radiology findings were analyzed.
RESULTS
Most of the cases showed satisfactory results. The clinical evaluation showed that seven cases (39%) were excellent and ten cases (56%) were good. Serial radiographic finding (preoperative, postoperative, postoperative 6 months) was evaluated. The mean preoperative, postoperative and postoperative 6 months coracoclavicular interval ratios were 2.41, 0.9 and 1.21, respectively. The early complications encountered were one case of a superficial infection at the insertion site of the smooth pin and one case of smooth pin migration.
CONCLUSION
The use of suture anchors in the treatment of an acromioclaviclar dislocation is a superior method cosmetically due to the need for only a small operative incision, minimal destruction of acromioclaricular joint, secure fixation to early physical exercise and require additional surgery to remove the internal fixative.