Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate

<p><b>Objectives:</b> We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated with micro-movable and anatomical acromioclavicular plate.</p><p><b>Methods:</b> Open reduction and internal fixation was performed usi...

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Main Author: Qingjun Liu, Jianyun Miao, Bin Lin, Zhimin Guo
Format: Article
Language:English
Published: Ivyspring International Publisher 2012-01-01
Series:International Journal of Medical Sciences
Online Access:http://www.medsci.org/v09p0725.htm
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spelling doaj-6e84d28f0b1f4b8287239cca3c70d5592020-11-24T22:47:34ZengIvyspring International PublisherInternational Journal of Medical Sciences1449-19072012-01-0198725729Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular PlateQingjun Liu, Jianyun Miao, Bin Lin, Zhimin Guo<p><b>Objectives:</b> We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated with micro-movable and anatomical acromioclavicular plate.</p><p><b>Methods:</b> Open reduction and internal fixation was performed using the MAAP in 16 patients (10 males, 6 females; mean age 36 years; range16 to 63 years) with acute complete acromioclavicular joint dislocation. Radiographic evaluations were routinely conducted every 3 weeks until 3 months postoperatively. The MAAP were removed under local anesthesia after 3 months postoperatively. We evaluated the functional results by using the constant scoring system and radiological results in the last follow-up time. The mean follow up was 26 months (range 16 to 38 months).</p><p><b>Results:</b> The mean Constant score was 94 (range, 78 to 100). The results were excellent in 12 patients (75.0%), good in 3 patients (18.8%) and satisfactory in 1patient (6.2%). Three patients with scores of 80 to 90 had mild pain during activity, but have not affected the shoulder range of motion. One patient has both some pain and limited range of motion of shoulder joint. All patients but one have returned to their preoperative work without any limitations. Compared to the contralateral side, radiography showed anatomical reposition in the vertical plane in 14 cases, slight loss of reduction in 2 older patients.</p><p><b>Conclusion</b>: We recommend the MAAP fixation for surgical treatment of acute complete acromioclavicular joint dislocation as it could provide satisfactory shoulder functions and clinical results, with lower complication rate. However, it is necessary to continue to observe the clinical effects of this fixation technique.</p>http://www.medsci.org/v09p0725.htm
collection DOAJ
language English
format Article
sources DOAJ
author Qingjun Liu, Jianyun Miao, Bin Lin, Zhimin Guo
spellingShingle Qingjun Liu, Jianyun Miao, Bin Lin, Zhimin Guo
Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
International Journal of Medical Sciences
author_facet Qingjun Liu, Jianyun Miao, Bin Lin, Zhimin Guo
author_sort Qingjun Liu, Jianyun Miao, Bin Lin, Zhimin Guo
title Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
title_short Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
title_full Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
title_fullStr Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
title_full_unstemmed Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
title_sort clinical effect of acute complete acromioclavicular joint dislocation treated with micro-movable and anatomical acromioclavicular plate
publisher Ivyspring International Publisher
series International Journal of Medical Sciences
issn 1449-1907
publishDate 2012-01-01
description <p><b>Objectives:</b> We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated with micro-movable and anatomical acromioclavicular plate.</p><p><b>Methods:</b> Open reduction and internal fixation was performed using the MAAP in 16 patients (10 males, 6 females; mean age 36 years; range16 to 63 years) with acute complete acromioclavicular joint dislocation. Radiographic evaluations were routinely conducted every 3 weeks until 3 months postoperatively. The MAAP were removed under local anesthesia after 3 months postoperatively. We evaluated the functional results by using the constant scoring system and radiological results in the last follow-up time. The mean follow up was 26 months (range 16 to 38 months).</p><p><b>Results:</b> The mean Constant score was 94 (range, 78 to 100). The results were excellent in 12 patients (75.0%), good in 3 patients (18.8%) and satisfactory in 1patient (6.2%). Three patients with scores of 80 to 90 had mild pain during activity, but have not affected the shoulder range of motion. One patient has both some pain and limited range of motion of shoulder joint. All patients but one have returned to their preoperative work without any limitations. Compared to the contralateral side, radiography showed anatomical reposition in the vertical plane in 14 cases, slight loss of reduction in 2 older patients.</p><p><b>Conclusion</b>: We recommend the MAAP fixation for surgical treatment of acute complete acromioclavicular joint dislocation as it could provide satisfactory shoulder functions and clinical results, with lower complication rate. However, it is necessary to continue to observe the clinical effects of this fixation technique.</p>
url http://www.medsci.org/v09p0725.htm
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