Management of rockwood type III acute acromioclavicular joint dislocation using closed loop double endobutton technique

Abstract

Background: Type III Acromioclavicular joint injuries poses a management quandary to the orthopaedic surgeons owing to lack of consensus regarding its management. A multitude of fixation techniques have been devised, used and rejected as per clinical and experimental studies. In this study, we aim to evaluate the efficacy of closed loop double endobutton technique in the management of acute Rockwood Type III AC joint injuries. Materials and Methods : A total of 17 patients were included in our study operated using double endobutton and polyester no. 5 suture. Subjective shoulder value and Constant-Murley score was used to evaluate the functional outcome. Follow up was done till a minimum of 1 year.Results: The Constant -Murley score at final follow up was 95.4 and the subjective shoulder value was 93.2 %. No major complications were seen in our study. Conclusion: The results of our study suggest that the closed loop double endobutton technique is an excellent surgical modality in the setting of acute type III AC joint dislocation and is associated with minimal complications.