Archives of Orthopaedic and Trauma Surgery

, Volume 113, Issue 6, pp 308–311 | Cite as

Surgical treatment of acromioclavicular dislocation

  • M. Pfahler
  • A. Krödel
  • H. J. Refior
Original Article

Abstract

Sixty-five patients were operated on for acromioclavicular dislocation between 1980 and 1991. Seventeen type II and 48 type III dislocations according to the criteria of Tossy et al. [15] were treated. Three different surgical techniques were employed. (1) tension band wiring, (2) a modification of the Bosworth repair [3], (3) reconstruction of the ligaments with augmentation by a PDS (polydioxanon) cord. Forty-four patients could be investigated retrospectively, and an additional 12 were recorded by questionnaire. The Taft score [14] was used, representing self-assessment, clinical statements and radiological findings. Of all investigated patients 87.5% had a normal range of motion without any loss of strength, and 32% suffered an osteoarthritis of the acromioclavicular joint. The average Taft score was 9.8. With respect to the three surgical techniques, reconstruction of the ligaments augmented by a PDS cord produced the best result, an average Taft score of 10.8.

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • M. Pfahler
    • 1
  • A. Krödel
    • 1
  • H. J. Refior
    • 1
  1. 1.Orthopädische Klinik, Klinikum GroßhadernLudwig-Maximilians-UniversitätMünchenGermany

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