The results of coraco-clavicular slings for acromio-clavicular dislocation

Simple item page
dc.contributor.authorClayer, M.
dc.contributor.authorSlavotinek, J.
dc.contributor.authorKrishnan, J.
dc.date.issued1997
dc.descriptionArticle first published online: 21 JAN 2008
dc.description.abstractBackground: Treatment of type 3 acromio-clavicular (A-C) dislocations is controversial. There have been over 60 different surgical procedures as well as a variety of conservative measures used to treat this injury. Methods: The outcome of a coraco-clavicular (C-C) sling for grade 3–4 A-C dislocation was studied. A dissolvable sling of braided 1 polydioxanone (PDS, Ethicon) was used with or without excision of the distal end of the clavicle in six patients. The clinical and radiological outcome of the braid and acromio-clavicular joint were studied by clinical examination, plain and stress radiographs and magnetic resonance imaging (MRI). Results: All patients reported good-excellent results from 6 months after surgery. Radiological examination demonstrated some superior clavicular migration in all patients within 1 month of the procedure, although never more than that seen with a grade 2 dislocation. This migration was clinically evident only in patients with a thin build. At 1 month, the MRI demonstrated partial replacement of the braid by granulation tissue. From 6 months on, the braid was absent and fibrous tissue was noted between the coracoid and the clavicle and the acromion and clavicle. Conclusions: The coraco-clavicular sling did not maintain operative reduction of the dislocated clavicle. This did not diminish the functional result but was a cosmetic complication in patients with a thin build
dc.description.statementofresponsibilityM. Clayer, J. Slavotinek and J. Krishnan
dc.identifier.citationANZ Journal of Surgery, 1997; 67(6):343-346
dc.identifier.doi10.1111/j.1445-2197.1997.tb01988.x
dc.identifier.issn0004-8682
dc.identifier.urihttp://hdl.handle.net/2440/6648
dc.language.isoen
dc.publisherWiley
dc.source.urihttps://doi.org/10.1111/j.1445-2197.1997.tb01988.x
dc.subjectacromio-clavicular dislocation
dc.subjectcoraco-clavicular dislocation
dc.subjectpolydioxanone
dc.titleThe results of coraco-clavicular slings for acromio-clavicular dislocation
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Orthopaedics and Trauma publications