Minimally invasive approach for stabilization of type III acute acromioclavicular dislocation by using suture anchors

Abstract

Background Acute complete acromioclavicular (AC) joint dislocation can be treated by surgical stabilization with or without reconstruction of the coracoclavicular ligaments. Aim The aim of the study was to evaluate the results of using mini-open approach for the stabilization of acute complete AC dislocation, by using suture anchors. Patients and methods This study evaluated the results of treatment of 30 patients with acute complete AC dislocation operated in Mansoura Emergency Hospital. The study described fixation of AC joint dislocation performed through mini-open approach, using suture anchors. Results Overall, 80% of patients were satisfied with the results of their surgery. According to Constant–Murley score, 18 (60%) patients had excellent results, six (20%) patients had good results, and six (20%) patients had poor results. There were no incidences of infection, soft tissue ossification, bone erosion, or painful scar. Four (20%) patients had recurrent deformity. Conclusion Acute complete AC joint dislocation can be treated by suture anchor fixation through mini-open approach. It is a simple and reliable method of fixation with lower incidence of complications and can be carried out through cosmetic approach, but it carries the risk for recurrent deformity.