Mini invasive double endobutton in patients with acute AC joint dislocation grade III and V: Functional outcome and complication

Abstract

AC joint dislocation is a common shoulder injury confronted by an orthopaedic surgeon as a diagnostic as well as therapeutic challenge. Still there is no gold standard treatment and no sufficient evidence from randomized control trial to guide for the treatment. Many fixation methods were studied, used and rejected as per experimental and clinical evidences. Aim of our study in this path is to assess functional outcome and complications of mini invasive double endobutton for the treatment of acute ACJ dislocation grade III and V in means of Constant score.Material and Methods: Anatomical reconstruction was done in 23 patients by using double endobutton and polyester no. 5 suture assembly with minimum follow up of 12 months. Constant score was used for functional outcome.Results: Twenty three patients were operated for acute ACJ dislocation. Loss of reduction was noted major complication in 5 patients and superficial infection occurred in 1 patient. Constant score at final follow up was 91.17.Conclusion: Double endobutton is an impressive modality to treat acute ACJ dislocation with high functional scores and low complications.