Surgical treatment of acromioclavicular dislocation using the endobutton

Acta Ortop Bras. 2017 May-Jun;25(3):81-84. doi: 10.1590/1413-785220172503166657.

Abstract

Objective: To evaluate the clinical and radiographic results of 23 patients diagnosed with acute type III acromioclavicular dislocation treated with the Endobutton.

Methods: Twenty-three patients with a diagnosis of type III acromioclavicular dislocation were treated surgically.

Results: Twenty-one patients were male (91.3%) and 2 (8.7%) were female. The dominant side was affected in 15 patients (65.21%) and the non-dominant side in 8 patients (34.79%). All patients were operated on by the same surgical team within 4 weeks of the trauma. According to the UCLA score, 14 patients (60.86%) presented excellent results, 7 patients (30.43%) had good results and 2 patients (8.69%) had regular results.

Conclusion: The technique was effective in treating acute type III dislocations with a high degree of patient satisfaction. Level of Evidence IV, Case Series.

Objetivo: Avaliar os resultados clínicos e radiográficos de 23 pacientes com diagnóstico de luxação acromioclavicular aguda tipo III tratados com uso de placa Endobutton.

Métodos: Foram submetidos a tratamento cirúrgico 23 pacientes com diagnóstico LAC III.

Resultados: O sexo masculino foi prevalente, sendo 21 (91,3%) homens e duas (8,7%) mulheres. O lado dominante foi acometido em 15 pacientes (65,21%) e o não dominante, em oito pacientes (34,79%). Todos os pacientes foram operados pela mesma equipe cirúrgica em até quatro semanas da data do trauma. Pelo escore da UCLA: 14 pacientes (60,86%) apresentaram excelentes resultados, sete pacientes (30,43%), bons resultados e em dois pacientes (8,69%) os resultados foram regulares.

Conclusão: A técnica mostrou-se efetiva no tratamento das luxações agudas de grau III, com elevado grau de satisfação dos pacientes. Nível de Evidência IV, Série de Casos.

Keywords: Acromioclavicular joint/diagnostic imaging; Acromioclavicular joint/surgery; Evaluation studies; Ligaments articular; Orthopedic procedures/methods.