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Year : 2004  |  Volume : 38  |  Issue : 4  |  Page : 254-258

Management Of Acute, Complete Acromio-Claviular Dislocations (Type III) By K-Wires And Tension Band Wiring



Correspondence Address:
J. B Panse


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Source of Support: None, Conflict of Interest: None


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Background: The AC joint is commonly involved in traumatic injuries that affect the shoulder. In management of acute dislocations of acromio-clavicular (TypeIII) joint, preferred primary method remains controversial. Surgery has been advocated to restore the anatomy of the AC joint since it has been thought that this could not be achieved by conservative treatment and would result in an unsatisfactory outcome. Methods: We report a retrospective study of 21 patients of acute AC dislocation (Type III) in patients between the age group 22 years to 45 years managed with K-Wires and Tension Band wiring and were followed up for mean period of 28 months. No attempt at repair or reconstruction of coraco-clavicular ligament was made. Results: The results were assessed by subjective, objective and radiological outcomes using a four-point scale. The results were analyzed and also compared with standard accepted studies. Conclusion: Fixation with K-Wires and Tension Band wiring is a simple, easy, less time consuming surgical technique allowing faster rehabilitation in young and adult active patients to achieve a stable pain free shoulder with no serious intra-operative or post-operative complications.


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