Radiographic displacement of acute acromioclavicular joint dislocations fixed with AC TightRope

Anell Olivos-Meza; Arturo Almazán-Diaz; José Alberto Calvo; César Alejandro Jiménez-Aroche; Marco Vinicio Valdez-Chávez; Francisco Pérez-Jiménez; Clemente Ibarra; Francisco Cruz-López

doi:10.1016/j.jseint.2019.11.002

Radiographic displacement of acute acromioclavicular joint dislocations fixed with AC TightRope

JSES Int. 2020 Jan 16;4(1):49-54. doi: 10.1016/j.jseint.2019.11.002. eCollection 2020 Mar.

Authors

Anell Olivos-Meza¹, Arturo Almazán-Diaz¹, José Alberto Calvo¹, César Alejandro Jiménez-Aroche¹, Marco Vinicio Valdez-Chávez¹, Francisco Pérez-Jiménez¹, Clemente Ibarra¹, Francisco Cruz-López¹

Affiliation

¹ Orthopedic Sports Medicine, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.

Abstract

Background: The arthroscopic approach to acromioclavicular (AC) dislocation with methods such as AC TightRope fixation has reported radiographic failure rates between 18% and 50% with functional results graded as good or excellent. Our objective was to review the outcomes after arthroscopic fixation for acute AC joint dislocation using the TightRope device.

Methods: We reviewed the records of 52 patients, with a mean age of 31 years, who underwent arthroscopic fixation with the TightRope device for acute AC joint dislocation. Outcomes were evaluated using the Constant and University of California, Los Angeles scores. The coracoclavicular (CC) distance before and after surgery was compared by radiography.

Results: The mean follow-up period was 36.7 months (range, 6-65 months). Postoperatively, the mean Constant score was 97.13 and the mean University of California, Los Angeles score was 33.2. The CC distance was maintained in 73% of the patients, whereas partial loss of reduction occurred in 19.2% and failure of reduction occurred in 7.7%.

Conclusion: Arthroscopic fixation using the TightRope device for acute AC joint dislocation achieves satisfactory clinical outcomes. However, CC reconstruction appears to result in subluxation in cases with AC dislocation for a period of more than 10 days.

Keywords: Acromioclavicular joint dislocation; TightRope device; acromioclavicular joint reduction; arthroscopic fixation; functional outcomes; radiologic displacement.