الفهرس | Only 14 pages are availabe for public view |
Abstract In this study we demonstrate the satisfying clinical outcome of 30 patients managed with a minimally invasive technique for anatomical, arthroscopically assisted, double bundle repositioning and stabilization of acute acromioclavicular joint disruptions types III-VI. The procedure results in an immediate stability and is intended to allow for healing of the CC ligaments and thus a long-term biological stability. 30 patients with acute AC joint dislocation were treated with a suspension-pulley system to reduce the AC joint and allow for healing of the CC ligaments. These patients were operated in the department of orthopedic sports medicine at the rechts der Isar hospital of the Technical University of Munich (TUM), Munich, Germany and Mansoura University Hospital. There were 27 males and 3 females .The average age is 34.5 + 10.37 years. The average duration of follow-up was 15.1 + 2.4 months (range, 12-20 months). All patients were reviewed clinically and radiologically preoperatively then postoperatively at one year postoperatively. The subjective functional, clinical and radiological results were analyzed. There was a significant improvement in the functional outcome scores (VAS for pain, SST, Constant score and the SF-36), all the patients were satisfied to different degrees and there were significant improvement in the radiological measures of the AC joint. However, limitations of our study are that the relatively small patient number and the relatively short follow-up time period. |