Sentetik Polyester Ligament ile Akromioklavikuler Eklem Çıkığı Tedavisi

Abstract

Objective: The aim of the study was to determine whether radiographic fixation with synthetic polyester ligament was achieved after fixation and to evaluate the functional results in the medium term. Methods: Between 2011 and 2015, 16 male patients were treated with surgical fixation with Surgilig synthetic ligament for Type 3 (n=1), Type 4 (n=1) and Type 5 (n=14) acromioclavicular (AK) All of the patients were acute cases admitted within the first 3 weeks after injury. Visual analogue scale (VAS) form was used to evaluate preoperative and postoperative pain. The Constant shoulder function assessment score was used for clinical evaluation in the postoperative period. Results: The mean age of the patients was 38.5 (range: 22-58) years. All patients were male. The mean follow-up period of the patients was 20 (range: 7-54) months. At the last follow-up, the mean Constant score was 82.78 points (range: 72-92). The mean preoperative VAS score was 8.6 (range: 7-10), with a mean of 1.4 (range: 0-3) at the last follow-up. The decrease in VAS score was statistically significant (p < 0.05). Radiologically, there was osteolytic appearance around the screw in 1 patient but there was no patient with complete loss of reduction or fracture. Conclusion: How to make optimal surgical treatment of ACJ dislocation is not clear yet. In the treatment, coracoclavicular fixation with Surgilig is successful both clinically and radiologically.