Reconstruction of Conoid, Trapezoid and Acromioclavicular Ligaments in Acute Traumatic Disruption of Acromioclavicular Joint Using Semitendinosus Graft

Document Type : Original Article

Authors

1 Department of Orthopedic, Nasser Institute Hospital, Cairo, Egypt.

2 Department of Orthopedic, Faculty of Medicine, Benha University, Benha, Egypt.

Abstract

Background
A common injury among sports and physically active people is a disturbance of the acromioclavicular (AC) joint, which makes up nearly 9-12% of all shoulder impairments. This study aimed to evaluate coracoclavicular (CC) ligament reconstruction in acute AC dislocation with special emphasis on range of motion, postoperative pain, recovery time and return to full work, and intraoperative and postoperative complications.
Subjects and Methods
This prospective case-control study performed on 20 adults male or female patients suffering from acute AC dislocation and indicated for operative treatment.
Results
Postoperative constant score was 92.5±6.5. The mean 6 weeks American Shoulder and Elbow Surgeons (ASES) was 40.15±2.18, 12 weeks ASES was 59.5±4.05 and 24 weeks ASES was 88.2±7.19. There was highly substantial variance between 6, 12 and 24 weeks ASES. Postoperative Disabilities of the Arm, Shoulder and Hand score was 9.5±3.5. The mean preoperative CC distance (mm) was 20±1.45, 6 weeks was 10.05±0.69 and 24 weeks was 10.15±0.81. There were highly significant differences between preoperative, 6 weeks and 24 weeks of CC distance (mm).
Conclusion
Techniques for treatment of acute AC dislocation are viable surgical including hook plates, end button, and other options.
Regarding reconstruction of CC and AC ligaments using semitendinosus, this technique provides good outcome without using hardware and by trying to restore normal anatomy and kinematics.

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