• Users Online: 760
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2014  |  Volume : 49  |  Issue : 2  |  Page : 108-111

Triple fixation for acute acromioclavicular joint dislocation

Department of Orthopaedic Surgery, Alexandria University, Alexandria, Egypt

Correspondence Address:
Mohamed G Morsy
MD, Department of Orthopaedic Surgery, Alexandria University, Alexandria
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-1148.145306

Rights and Permissions

Introduction Acromioclavicular joint (ACJ) dislocation is common in sports medicine. Surgical intervention is generally indicated for acute dislocation of Rockwood grade III and more severe injuries. Various methods of reconstruction and augmentation have been described. Objective The aim of this study was to evaluate the results of treatment of acute ACJ dislocation with coracoacromial ligament transfer combined with coracoclavicular suture loop and acromioclavicular suture fixation. Patients and methods Twenty-five patients with acute ACJ dislocation were treated with the previous technique. All patients underwent surgery within 2 weeks of injury. Through anterosuperior shoulder incision, two Ethibond sutures were wrapped under the coracoid and around the clavicle. Moreover, four drill holes were made in the acromion and clavicle (two in each bone) where another Ethibond suture was used to pass through these holes to fix the ACJ. Finally, the coracoacromial ligament was transferred to the under surface of the clavicle. Results The mean follow-up was 19 months; the mean Constant score improved to 96 points. All 25 patients returned to normal life at a mean of 2.5 months postoperatively. Radiologically, 22 patients achieved anatomical reduction of ACJ. In three patients, mild sublaxation was encountered. Conclusion Triple fixation technique is a simple, cheap, and reliable procedure for restoring stability in cases of acute ACJ dislocations. It does not only prevent the superior translation, but it also prevents the anterior-posterior translation of the clavicle.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded182    
    Comments [Add]    

Recommend this journal