MODERN ATTITUDE IN THE TREATMENT OF ACROMIO-CLAVICULAR DISPLACEMENT

The acromioclavicular joint dislocation represents a common shoulder injury that frequently occurs to young and active individuals. Most of these AC lesions can be treated conservatively but high-grade dislocation need surgical treatment. There are numerous surgical techniques described in literature for treating this injury. The surgeons must choose between open reduction with internal fixation and arthroscopic fixation, which is the latest technique developed. The aim of this study is to evaluate the functional results and the level of pain after an arthroscopic fixation using a TightRope system to treat AC dislocation. It is a less invasive technique, allowing a stable fixation of the joint. In our study we analyzed 48 patients with acute acromioclavicular dislocation, all of them surgically treated using an arthroscopic method with a single TightRope device. An important reduction in pain perception was achieved at six months after the surgery, comparing with the preoperative moment. No system failure was recorded. Arthroscopic treatment of AC dislocation with the use of TightRope system is an efficient technique which can correct deformity and restore full range of motion in a short period of time.