Prospective study of functional outcome in the management of type 3 acromioclavicular joint disruption by suture disc technique augmented with Mersilene tape and distal clavicular resection

Abstract

Background and Objectives: Acromioclavicular (AC) joint dislocation is a common injury frequently affecting young athletes. The aim of this study is to evaluate postoperative functional results in cases diagnosed with Rockwood type 3 AC joint dislocation operated with suture disc technique augmented with Mersilene tape with distal clavicular resection Methods: All patients admitted for type 3 Rockwood acromioclavicular joint disruption who would undergo suture disc technique augmented with Mersilene tape with distal clavicular resection procedures in the Department of orthopaedics Sanjay Gandhi Institute of Trauma and Orthopaedic, Bangalore, between Nov 2018 to July 2020. Functional outcomes assessed at 1, 3, and 6 months.Results: This study comprised of 20 patients were admitted in the department of Orthopaedics, Sanjay Gandhi institute of trauma and orthopaedics. The following are the observations and the results compiled at the end of study. 1] Mean Constant shoulder score was 93. 2] Mean Quick DASH score was 5.04 3] Mean VAS score among the patients in the study also reduced from pre-op value of 5 to 3, 2, and 1 at 1 month, 3 months and 6 months post-op respectively, 8 patients in the study group had Excellent outcome, 2 patients in the study group had good outcome.Conclusion: For Rockwood type 3 acromioclavicular joint disruption, suture disc technique augmented with mersilene tape with distal clavicular resection gives satisfactory result in terms of range of motion, post-operative complication etc at an affordable cost.