Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation
Vol 3 | Issue 2 | Sep – Dec 2017 | page: 21-24 | Biswajit Sahu, Ranajit Panigrahi, Nishit Palo, Ashok Priyadarshi, Saswat Samant
Author: Biswajit Sahu [1], Ranajit Panigrahi [2], Nishit Palo [3], Ashok Priyadarshi [4], Saswat Samant [5].
[1] Department of Orthopaedics, VSS Medical College.
[2] Department of orthopedics, Hi-Tech Medical College
[3] Department of Orthopaedics, Santosh Medical College,Ghaziabad, UP.
[4] Department of orthopedics, Hi-Tech Medical College, Bhubaneswar
Address of Correspondence
Dr Saswat Samant
Department of Orthopaedics, Hi-tech Medical College
Bhubaneswar.
Email: Saswatsamant135@gmail.com
Learning Points for this Article: Isolated intra-articular K-wire fixation also fails to provide the required stability to the injured joint, especially in developing countries, where patients fail to adhere to the rehabilitation protocol. Thus, combining both, the intra-articular and coracoclavicular fixations seem to be a promising modality in terms of stability and secure fixation. Combining the intra- and extra-articular techniques significantly decreases the complication rates as seen with the isolated fixation techniques.
Abstract
The AC joint is commonly involved in traumatic injuries that affect the shoulder.Treatment of these injuries has been controversial and continues to evolve to this day ranging from conservative management and k-wire fixations to screw fixation, and more recently, arthroscopically assisted ligament reconstructions with no definite consensus about the ideal method of treatment.Each modality has its own advantages and disadvantages. In this prospective therapeutic multicenter study, we compared combined intra-articular fixation and screw coracoclavicular repair versus the intra-articular fixation with k-wires alone to assess the stability, failure rates, and outcomes of combining the two methods of fixation versus isolated intra-articular fixation.combining both, the intra-articular and coracoclavicular fixations seem to be a promising modality in terms of stability and secure fixation. Combining the intra- and extra-articular techniques significantly decreases the complication rates as seen with the isolated fixation techniques.
Keywords: Acromioclavicular dislocations, intra-articular, multicenter.
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| How to Cite this article: Sahu B, Panigrahi R, Palo N, Priyadarshi A, Samant S. Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation With Intra-articular K-wire FixationTrauma International Sep-Dec 2017;3(2):21-24. |
