Resumen

GONZALEZ-ERREGUIN, V  y  MORALES-VILLANUEVA, J. Surgical treatment of acute acromioclavicular dislocation: Preliminary report. Acta ortop. mex [online]. 2015, vol.29, n.4, pp.203-206. ISSN 2306-4102.

Introduction: Determining what is the ideal acute management of type III lesions is controversial. The reconstruction of coracoclavicular ligaments is a fundamental part of the surgical management of these lesions. Material and methods: The records of patients with acute acromioclavicular dislocation treated with open reduction and fixation with highly resistant sutures were reviewed. The preliminary results were assessed at the 3-month follow-up. Results: Twelve patients were included, all of them males; mean age was 28 years. Three were Rockwood grade III, one grade IV, and 8 grade V. The mean time elapsed between the injury and the surgery was 9 days. According to the Constant scale 11 patients had excellent results and one had good results. Only one patient developed a seroma. Radiographic reduction was maintained in all patients. Conclusions: The anatomical reconstruction of coracoclavicular ligaments reduces complications considerably, especially when such reconstruction is made using materials with a grip strength similar to the one offered by native ligaments.

Palabras llave : Dislocation; acromioclavicular; cerclage; loop; sutures.