Author/Authors :
Panella, Antonio Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy , Notarnicola, Angela Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy , Damato, Paola Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy , Sforza, Giuseppe Berkshire Independent Hospital - Swallows Croft,Wensley Road, Reading, UK , Solarino, Giuseppe Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy , Mori, Claudio Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy , Margiotta, Cristina Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy , Moretti, Biagio Department of Medical Sciences of Basis - Neurosciences and Organs of Sense - Faculty of Medicine and Surgery - University of Study of Bari - General Hospital, Piazza Giulio Cesare, Bari, Italy
Abstract :
Background: Many different surgical techniques have been described to stabilize the acromion-clavicular (AC) dislocations. So far
many of these procedures are performed only in arthroscopy.
Objectives: In this study, we describe a new technique that utilizes the tightrope with a mini-invasive open approach for the acute
stabilization of the acromion-clavicular joint (ACJ) dislocation.
Patients and Methods: We set an prospective study aimed to verify the efficacy of this new surgical technique. We treated 28 patients
with acute ACJ dislocation with ACJ TightRope ® System with dual mini access. We retrospectively reviewed the data of 34
patients treated with arthroscopic technique. They were considered as the control group.
Results: At 6 month’s follow-up, all the 28 patients showed a stable joint during clinical examination and obtained an average
Constant score of 98.62/100, with a complete recovery of ROM and strength in abduction. The mean operation time was of 33.7
minutes. The mean recovery duration was 102.8 days. No significant difference was found between the experimental and control
groups (P > 0.05).
Conclusions: Results of this trial suggest the effectiveness of this new mini-invasive surgical technique in producing clinical and
functional recovery in patients with ACJ dislocations.
