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HOME > J Musculoskelet Trauma > Volume 23(3); 2010 > Article
Original Article
Arthroscopic Treatment of Acromioclavicular Joint Dislocation Using TightRope(R): Preliminary Report
Eui-Sung Choi, M.D., Kyoung-Jin Park, M.D., Yong-Min Kim, M.D., Dong-Soo Kim, M.D., Hyun-Chul Shon, M.D., Byung-Ki Cho, M.D., Ji-Kang Park, M.D, Hyun-Chul Lee, M.D.
Journal of the Korean Fracture Society 2010;23(3):310-316.
DOI: https://doi.org/10.12671/jkfs.2010.23.3.310
Published online: July 31, 2010

Department of Orthopedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.

Address reprint requests to: Kyoung-Jin Park, M.D. Department of Orthopedic Surgery, College of Medicine, Chungbuk National University, 62, Gaesin-dong, Heungdeok-gu, Cheongju 360-711, Korea. Tel: 82-43-269-6077, Fax: 82-43-274-8719, oslion@chungbuk.ac.kr
• Received: November 30, 2009   • Revised: February 16, 2010   • Accepted: April 5, 2010

Copyright © 2010 The Korean Fracture Society

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  • Purpose
    To evaluate the clinical and radiologic results of the arthroscopic treatment using TightRope® (Arthrex, Inc, Naples, FL) for management of acute acromioclavicular dislocation.
  • Materials and Methods
    Twelve patients with acromioclavicular joint dislocation Rockwood type V are underwent the arthroscopic acromioclavicular joint reconstruction using TightRope® between March, 2008 and March, 2009. The average age was 40.4 years (range 25~63 years) and mean follow-up was 10 months (range 8~16 months). The shoulders were evaluated using parameters include radiologic measurements by comparing the clavicle posteroanterior and lateral radiographs with the contralateral one. Clinical evaluation was made for pain, function, and range of joint motion by Constant score and KSS (Korean Shoulder Score).
  • Results
    All twelve patients returned to their work without pain in 3 months after operation. The average Constant score and KSS score was 98.4 (range 97~100) and 97.8 (range 97~100) at the last follow-up. Because of technical error and indication error, two patients showed failures of TightRope® fixation on the coracoid side and the acromioclavicular joint was redislocated, so these cases were excluded. 10 patients were satisfied with functional results and cosmetic appearance.
  • Conclusion
    Considering its less morbidity, less hospitalization, excellent cosmesis, early rehabilitation, this new technique offers an attractive alternative in acromioclavicular joint stabilization if the early technical error would be overcome.
  • Key words: Acromioclavicular joint, Dislocation, Arthroscopic treatment, TightRope®
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Figure 1
(A, B) Preoperative radiographs of a type V acromioclavicular dislocation (arrow).
(C, D) Postoperative radiographs shows anatomical reduction of the right acromioclavicular joint using TightRope® (arrow).
jkfs-23-310-g001.jpg
Figure 2
(A) The base of corcacoid process is visualized with the 70 degree scope by the posterior portal. The tip of the guide pin is stopped by the drill stop at the base of the coracoid process under direct visualization.
(B) Identification of the coracoid button and the security of reduction is confirmed.
jkfs-23-310-g002.jpg
Figure 3
(A) Postoperative 6 months later, radiograph shows the sinking of superior endobutton (arrow).
(B) MRI confirms the healing of coracoclavicular ligament (arrow).
(C) After removing TightRope®, photograph shows residual hole in clavicle (arrow).
(D) Postoperative radiograph shows no increasement of the coracoclavicular distance (arrow).
jkfs-23-310-g003.jpg
Table 1
Comparison of radiologic and clinical results
jkfs-23-310-i001.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Coracoclavicular Ligament Augmentation Using Tight-Rope®for Acute Acromioclavicular Joint Dislocation - Preliminary Report -
      Seok Hyun Kweon, Sang Su Choi, Seong In Lee, Jeong Woo Kim, Kwang Mee Kim
      The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 115.     CrossRef
    • Coracoclavicular Ligament Augmentation Using Endobutton for Unstable Distal Clavicle Fractures - Preliminary Report -
      Chul-Hyun Cho, Gu-Hee Jung, Hong-Kwan Sin, Young-Kuk Lee, Jin-Hyun Park
      The Journal of the Korean Shoulder and Elbow Society.2011; 14(1): 1.     CrossRef

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      Arthroscopic Treatment of Acromioclavicular Joint Dislocation Using TightRope(R): Preliminary Report
      J Korean Fract Soc. 2010;23(3):310-316.   Published online July 31, 2010
      DOI: https://doi.org/10.12671/jkfs.2010.23.3.310
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    Arthroscopic Treatment of Acromioclavicular Joint Dislocation Using TightRope(R): Preliminary Report
    Image Image Image
    Figure 1 (A, B) Preoperative radiographs of a type V acromioclavicular dislocation (arrow). (C, D) Postoperative radiographs shows anatomical reduction of the right acromioclavicular joint using TightRope® (arrow).
    Figure 2 (A) The base of corcacoid process is visualized with the 70 degree scope by the posterior portal. The tip of the guide pin is stopped by the drill stop at the base of the coracoid process under direct visualization. (B) Identification of the coracoid button and the security of reduction is confirmed.
    Figure 3 (A) Postoperative 6 months later, radiograph shows the sinking of superior endobutton (arrow). (B) MRI confirms the healing of coracoclavicular ligament (arrow). (C) After removing TightRope®, photograph shows residual hole in clavicle (arrow). (D) Postoperative radiograph shows no increasement of the coracoclavicular distance (arrow).

    Figure 1

    Figure 2

    Figure 3

    Arthroscopic Treatment of Acromioclavicular Joint Dislocation Using TightRope(R): Preliminary Report

    Comparison of radiologic and clinical results
    Table 1 Comparison of radiologic and clinical results

    Table 1

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