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Reconstruction of displaced acromio-clavicular joint dislocations using a triple suture-cerclage: description of a safe and efficient surgical technique

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Author(s): Sandmann Gunther H | Martetschläger Frank | Mey Lisa | Kraus Tobias M | Buchholz Arne | Ahrens Philipp | Stöckle Ulrich | Freude Thomas | Siebenlist Sebastian

Journal: Patient Safety in Surgery
ISSN 1754-9493

Volume: 6;
Issue: 1;
Start page: 25;
Date: 2012;
Original page

Keywords: Acromioclavicular joint | Dislocation | Rockwood | Cerclage

ABSTRACT
Abstract Purpose In this retrospective study we investigated the clinical and radiological outcome after operative treatment of acute Rockwood III-V injuries of the AC-joint using two acromioclavicular (AC) cerclages and one coracoclavicular (CC) cerclage with resorbable sutures. Methods Between 2007 and 2009 a total of 39 patients fit the inclusion criteria after operative treatment of acute AC joint dislocation. All patients underwent open reduction and anatomic reconstruction of the AC and CC-ligaments using PDS® sutures (Polydioxane, Ethicon, Norderstedt, Germany). Thirty-three patients could be investigated at a mean follow up of 32±9 months (range 24–56 months). Results The mean Constant score was 94.3±7.1 (range 73–100) with an age and gender correlated score of 104.2%±6.9 (88-123%). The DASH score (mean 3.46±6.6 points), the ASES score (94.6±9.7points) and the Visual Analogue Scale (mean 0.5±0,6) revealed a good to excellent clinical outcome. The difference in the coracoclavicular distance compared to the contralateral side was
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