Grade III acromioclavicular dislocation: comparison of two surgical methods

Authors

  • Gonzalo Vargas-Ramírez Orthopedist and traumatologist. Clínica Asotrauma, Ibagué, Colombia. | Universidad del Tolima, Ibagué, Colombia.

Keywords:

Acromioclavicular Joint Injuries, Dislocations, Bone Plates

Abstract

Introduction: The treatment of type III acromioclavicular dislocation is controversial. It has been surgically treated in our institution with modified Bosworth technique, with often complications as mechanical osteitis and hardware loosening. Therefore, since ending 2006, we use acromioclavicular plate fixation. The purpose of this study was to compare these two different methods of treatment.

Methods: We designed a descriptive case series of the patients with acromioclavicular dislocation surgically treated in our institution between September 2005 and October 2008. We made a comparison between one group treated with acromioclavicular plate and ano­ther group treated with the modified Bosworth technique, with a minimum of six months of clinical and radiographic follow-up. We measured outcome variables as the presence of re-dislocation, osteitis and hardware loosening, and we used the Constant score and the DASH scale.

Results: We found better results with acromioclavicular plate fixation, in evaluating re-dislocation, osteitis and hardware loosening, and also better Constat score final results (p = 0.00387051).

Discussion: We recommend the use of acromioclavicular plate method to treat type III acromioclavicular dislocation.

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Published

2011-03-01

How to Cite

1.
Vargas-Ramírez G. Grade III acromioclavicular dislocation: comparison of two surgical methods. Rev. Colomb. Ortop. Traumatol. [Internet]. 2011 Mar. 1 [cited 2026 Mar. 16];25(1):34-9. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/689

Issue

Vol. 25 No. 1 (2011)

Section

Original research

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Copyright (c) 2025 Sociedad Colombiana de Ortopedia y Traumatología

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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