ENDOBUTTON TECHNIQUE AND OUTCOME FOR THE SURGICAL TREATMENT OF ACROMIOCLAVICULAR JOINT DISLOCATION
INTRODUCTION: Dis-joining of AC- joint is one of the most common shoulder dislocation seen specially among active individuals and athletes. According to Rockwood classification, nonoperative treatments are recommended for Rockwood 1 and 2 type separations, while the management of Rockwood 3 dislocation still remains controversial. Rockwood 4 and above mentioned type of dislocations require operative treatment for adequate reduction and stabilization (7). Without surgical intervention, biomechanical and cosmetics, injuries would be permanent(5). Although various type of surgical methods are used to treat AC joint dislocation, there is still wait for gold standard technique(10).Techniques using different kind of hardware fixation, like the Bosworth screw and Hook plate, have disapproval due to problems arising from implant failure and requirement for a second time surgery to remove the …show more content…
In recent days there are many types of surgical technique have been described to treat AC joint injuries, in earlier days K-wire were recommended for the fixation of AC joint dis-junction affirming its accessibility to operate, low cost and solid firmness. But they have been found complication like damage articular surface and fibrocartilage, affect rotation of clavicle and limitation of upper arm lifting. Even the studies show significant complication in 25%cases of K-wire fixation, including damage on surrounding soft tissues and traumatic arthritis post operation. It can also extend to pin-tail infection and loosening, breaking and prolapse of K-wire, resulting in fixation failure lead to elimination of single application of
INTRODUCTION: Dis-joining of AC- joint is one of the most common shoulder dislocation seen specially among active individuals and athletes. According to Rockwood classification, nonoperative treatments are recommended for Rockwood 1 and 2 type separations, while the management of Rockwood 3 dislocation still remains controversial. Rockwood 4 and above mentioned type of dislocations require operative treatment for adequate reduction and stabilization (7). Without surgical intervention, biomechanical and cosmetics, injuries would be permanent(5). Although various type of surgical methods are used to treat AC joint dislocation, there is still wait for gold standard technique(10).Techniques using different kind of hardware fixation, like the Bosworth screw and Hook plate, have disapproval due to problems arising from implant failure and requirement for a second time surgery to remove the …show more content…
In recent days there are many types of surgical technique have been described to treat AC joint injuries, in earlier days K-wire were recommended for the fixation of AC joint dis-junction affirming its accessibility to operate, low cost and solid firmness. But they have been found complication like damage articular surface and fibrocartilage, affect rotation of clavicle and limitation of upper arm lifting. Even the studies show significant complication in 25%cases of K-wire fixation, including damage on surrounding soft tissues and traumatic arthritis post operation. It can also extend to pin-tail infection and loosening, breaking and prolapse of K-wire, resulting in fixation failure lead to elimination of single application of