Functional Outcome Of Reconstruction Of Coracoclavicular And Acromioclavicular Ligaments In Acromioclavicular Joint Dislocation

Abstract

Introduction: Acromioclavicular joint dislocations account for approximately 12% of injuries to the shoulder girdle. Reconstruction of these dislocations is advised and various authors have described different techniques. The modern approach has emphasized anatomic reconstruction using semitendinosus autograft.

Methods: Adults with chronic acromioclavicular joint dislocation presenting to our hospital underwent reconstruction of the joint. A standard protocol of surgery and post-operative rehabilitation was followed. The functional outcome was assessed using the Constant-Murley shoulder score after six months.

Results: A total of twenty-one patients were evaluated. The functional outcome was assessed at 24 weeks using the Constant-Murley score. Nineteen patients (90.4%) had a very good outcome, one patient had a good outcome whereas one had a fair outcome.

Conclusion: The anatomic reconstruction of the acromioclavicular joint using semitendinosus graft results in very good outcomes with few complications.