Double-button Fixation System for Management of Acute Acromioclavicular Joint Dislocation

  Background: Surgical treatments for acromioclavicular (AC) joint dislocation present with some complications. The present study was designed to evaluate the double-button fixation system in the management of acute acromioclavicular joint dislocation. Methods: This cross sectional study, done between February ۲۰۱۱ to June ۲۰۱۴, consisted of ۲۸ patients who underwent surgical management by the double-button fixation system for acute AC joint dislocation. Age, sex, injury mechanism, dominant hand, side with injury, length of follow up, time before surgery, shoulder and hand (DASH), constant and visual analogue scale (VAS) scores, and all complications of the cases during the follow up were recorded. Results: The mean age of patients was ۳۳.۲۳±۶.۷ years. Twenty four patients (۸۵.۷۱%) were male and four (۱۴.۲۸%) were female. The significant differences were observed between pre-operation VAS, constant shoulder scores and post-operation measurements (P=۰.۰۰۱, P=۰.۰۰۰۱, P=۰.۰۰۰۱, respectively). There were not any significant differences between right and left coracoclavicular (P=۰.۲۳۸), but two cases of heterotrophic ossifications were recorded. The mean follow-up time was ۱۶.۱۷±۴.۳۸ months. Conclusion: According to the results, the double-button fixation system for management of acute acromioclavicular joint dislocation has suitable results and minimal damage to the soft tissues surrounding the coracoclavicular ligaments.

Keywords:

Acromioclavicular joint , Dislocation , Double-button fixation