Treatment of patients with acromioclavicular joint injuries (Rockwood II–VI) with modeled Kirschner wire and cortical screw

Abstract

Objective: To propose an original method of surgical treatment for the acromial extremity of the clavicle rupture (Rockwood II–VI) with modeled Kirschner wire and cortical screw. Methods: Anatomical study and a test method were applied to 43 cadavers of both sexes. During the period between 2000 and 2013, 34 patients of both sexes were operated upon using the new method. In the comparison group (n = 120), the fixation of the acromial extremity of the clavicle rupture was performed with hamate plate, Lee hook and Kirschner wires. Results: Its application allows, according to the evaluation scale of Constant and Murley (1987), 10% more preservation of the function of the shoulder compared with traditional methods of surgical treatment, and shortens the required hospital treatment and temporary disability periods. Conclusions: It is shown that the proposed author's method combines low invasiveness, minimum dimensions of the construction and low-cost treatment.

Keywords

• Acromioclavicular joint
• Acromioclavicular ligament
• Clavicular-coracoid ligament
• Splinting of acromioclavicular joint