Acromioclavicular Fracture-Dislocation Fixation Technique With Cerclages and Osteosutures: The "Invisible" Repair.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 35493045.
- Also identified by DOI 10.1016/j.eats.2021.12.002 and PMC identifier 9051664.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Surgical treatment usually is indicated for the management of acromioclavicular fracture-dislocations. These are unstable injuries and have shown a high rate of nonunion when managed conservatively. However, surgical strategies often require a second surgery for hardware removal. We describe an arthroscopic-assisted technique to repair the acromioclavicular fracture-dislocation without implants, using a double cerclage and osteosutures. This technique does not require specific instrumentation, avoids clavicle/coracoid drilling, and minimizes secondary irritation related to hardware. This can be used in different anatomic locations and can theoretically reduce the chances of symptomatic hardware, reoperation rates, and iatrogenic fractures.
Anatomy
- clavicle