PRELIMINARY EVALUATION OF SURGICAL TREATMENT FOR ACROMIOCLAVICULAR JOINT DISLOCATION USING CORACOCLAVICULAR AND ACROMIOCLAVICULAR LIGAMENT RECONSTRUCTION
Main Article Content
Abstract
Background: Acromioclavicular joint dislocation is a common injury following shoulder trauma; however, the optimal treatment strategy remains controversial. Traditional treatment methods may have limitations in maintaining joint stability and may not fully restore the anatomy of the coracoclavicular ligament complex. Therefore, anatomical reconstruction of the coracoclavicular and acromioclavicular ligaments using biological grafts has received increasing attention. Objectives: To evaluate the preliminary outcomes of surgical treatment for acromioclavicular joint dislocation using coracoclavicular and acromioclavicular ligament reconstruction. Materials and methods: This prospective descriptive study included 30 patients with acromioclavicular joint dislocation who underwent coracoclavicular and acromioclavicular ligament reconstruction at Can Tho Central General Hospital, Can Tho General Hospital, and Can Tho University of Medicine and Pharmacy Hospital from June 2024 to December 2025. Treatment outcomes were assessed based on clinical characteristics, operative time, complications, shoulder function according to the Constant–Murley score, and patient satisfaction at 3 months after surgery. Results: The mean age of the patients was 45.00 ± 12.10 years, with males accounting for the majority. Rockwood type V acromioclavicular joint dislocation was the most common injury pattern. The mean time from injury to surgery was 10.17 ± 8.39 days, and the mean operative time was 89.50 ± 10.62 minutes. The Constant–Murley score improved from 29.60 ± 5.88 before surgery to 77.70 ± 5.31 at 3 months postoperatively. The rate of good and excellent outcomes reached 100%. The most common complication was loss of acromioclavicular joint reduction. The rate of satisfied and very satisfied patients was 93.33%. Conclusion: Coracoclavicular and acromioclavicular ligament reconstruction is an effective treatment method for acromioclavicular joint dislocation, helping improve joint stability and shoulder function after surgery.
Keywords
Acromioclavicular joint dislocation, ligament reconstruction, coracoclavicular ligament, acromioclavicular ligament
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Aliberti GM, Kraeutler MJ, Trojan JD, Mulcahey MK. Horizontal Instability of the Acromioclavicular Joint: A Systematic Review. Am J Sports Med. 2020. 48(2), 504-510, doi:10.1177/0363546519831013.
3. Dumont GD, Russell RD, Knight JR, et al. Impact of tunnels and tenodesis screws on clavicle fracture: a biomechanical study of varying coracoclavicular ligament reconstruction techniques. Arthroscopy. 2013. 29(10), 1604-7, doi:10.1016/j.arthro.2013.07.257.
4. Berthold DP, Muench LN, Dyrna F, et al. Current concepts in acromioclavicular joint (AC) instability – a proposed treatment algorithm for acute and chronic AC-joint surgery. BMC Musculoskeletal Disorders. 2022. 23(1), 1078, doi:10.1186/s12891-022-05935-0.
5. Rosso C, Martetschläger F. High degree of consensus achieved regarding diagnosis and treatment of acromioclavicular joint instability among ESA-ESSKA members. Knee Surg Sports Traumatol Arthrosc. 2021. 29(7), 2325-2332, doi:10.1007/s00167-020-06286-w.
6. Phan Thế Nhựt. Mất vững khớp cùng đòn trên mặt phẳng ngang: cận lâm sàng chẩn đoán. phương pháp phẫu thuật. Tạp chí Y Dược học Cần Thơ. 2024 (79), 243-253. doi:10.58490/ctump.2024i79.2873.
7. Konstantinou E, Koskiniotis A. Anatomical reconstruction of coracoclavicular and acromioclavicular ligaments using an autologous tendon graft provides excellent outcomes in acute acromioclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc. 2025. 33(12), 4364-4371, doi:10.1002/ksa.70051.
8. Wahal N, Kendirci AS, Abondano C, Tauber M, Martetschläger F. Acromioclavicular Joint Lesions in Adolescents-A Systematic Review and Treatment Guidelines. Journal of Clinical Medicine. 2023. 12(17), 5650, doi: 10.3390/jcm12175650.
9. Vrotsou K, Ávila M, Machón M, et al. Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2018. 27(9), 2217-2226, doi:10.1007/s11136-018-1875-7.
10. Vũ Xuân Thành. Đánh giá kết quả điều trị trật khớp cùng đòn mãn tính bằng tái tạo dây chằng quạ đòn từ gân ghép tự thân. Tạp chí Y Dược thực hành 175. 2019. 19, 42-58.
11. Nguyễn Ngọc Tuấn, Lê Chí Dũng. Kết quả điều trị trật khớp cùng đòn bằng tái tạo dây chằng quạ đòn bằng mảnh ghép hai gân gan tay dài tự thân. Tạp chí Y học Việt Nam. 2023, 528(số chuyên đề), 343 - 352.
12. Dương Đình Triết, Bùi Hồng Thiên Khanh, Đỗ Phước Hùng. Kết quả điều trị trật khớp cùng đòn bằng phẫu thuật tái tạo dây chằng quạ đòn qua nội soi hỗ trợ. Tạp chí Y học Việt Nam. 06/22 2022, 515(1), doi:10.51298/vmj.v515i1.2734.