Clin Should Elbow.  2013 Dec;16(2):115-122.

Coracoclavicular Ligament Augmentation Using Tight-Rope(R) for Acute Acromioclavicular Joint Dislocation: Preliminary Report

• Kweon SH
• Choi SS
• Lee SI
• Kim JW
• Kim KM

Abstract

PURPOSE
The purpose of this study is to analyze the results of acute acromioclavicular joint dislocation treatment with coracoclavicular ligament augmentation using Tight-Rope(R) (Arthrex).
MATERIALS AND METHODS
From October 2009 to March 2011, 30 patients with acute acromioclavicular joint dislocation underwent coracoclavicular ligament augmentation using Tight-Rope(R) and were followed up for at least 12 months after surgery. The radiologic results were qualified according to serial plain radiographs, and the clinical results according to University of California - Los Angeles (UCLA) Shoulder Scale, Constant score, and VAS pain score.
RESULTS
Using the UCLA scoring system, excellent results were observed in 22 cases (73%), good results in five cases (17%), fair results in two cases (7%), and a poor result in one case (3%). The average Constant score was 92.5+/-7.5. According to radiologic results, anatomical reduction was achieved in 26 cases, and two cases showed a moderate loss of reduction, and two cases showed complete re-dislocation. Clinical results for patients with re-dislocation were unsatisfactory and reoperation was required.
CONCLUSION
Coracoclavicular ligament augmentation using Tight-Rope(R) is a good option providing reliable functional results in patients with acute acromioclavicular joint dislocation.

MeSH Terms

Acromioclavicular Joint*
California
Dislocations*
Humans
Ligaments*
Reoperation
Shoulder