Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (39): 7336-7339.doi: 10.3969/j.issn.1673-8225.2011.39.029

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Comparison of two methods for the treatment of Tossy type Ⅲ acromioclavicular joint dislocation: Minimally invasive coracoclavicular ligament reconstruction and clavicular hook interior fixation

Liu Yi, Cui Zhi-ming, Cui Sheng-yu, Cui Dao-ran, Yan Jian-jun   

  1. Department of Orthopedics, Nantong first People’s Hospital, the Second Affiliated Hospital of Nantong University, Nantong  226001, Jiangsu Province, China
  • Received:2011-04-19 Revised:2011-07-08 Online:2011-09-24 Published:2011-09-24
  • Contact: Yan Jian-jun, Chief physician, Department of Orthopedics, Nantong first People’s Hospital, the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China yanjianjun2011@yahoo.com.cn
  • About author:Liu Yi★, Master, Physician, Department of Orthopedics, Nantong first People’s Hospital, the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China liuy2003_1984@yahoo.cn

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Abstract:

BACKGROUND: Crossing Kirschner wire, Kirschner’s tension-band, coracoclavicular screw, and bridging technique have no satisfactory effects on Tossy type Ⅲ acromioclavicular joint dislocation.
OBJECTIVE: To compare the therapeutic effects of two methods to treat Tossy type Ⅲ acromioclavicular joint dislocation with minimally invasive coracoclavicular ligament reconstruction and clavicular hook interior fixation.
METHODS: A total of 63 patients with Tossy type Ⅲ acromioclavicular joint dislocation were treated with minimally invasive coracoclavicular ligament reconstruction and clavicle hook interior fixation.
RESULTS AND CONCLUSION: According to Karlsson evaluation standard, the excellent rate in group Ⅰ was 92% at the end of the first month, 88% in the third month after operation. Meanwhile the excellent rate in group Ⅱ was 79% at the first month, 76% in the third month after operation. The difference of the excellent rate between these two groups were significant (P < 0.05). Compared to the clavicular hook interior fixation, the minimally invasive coracoclavicular ligament reconstruction is more convenient, safe and effective for Tossy type Ⅲ acromioclavicular joint dislocation with less trauma.

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