OUTCOME OF ANATOMIC ACROMIO-CLAVICULAR JOINT (ACCR) RECONSTRUCTION WITH ANTERIOR HALF PERONEUS LONGUS AUTOGRAFT (AHPLT) AND SUTURE TAP AUGMENTATION FOR TRAUMATIC ACJ DISLOCATION IN ADULT PATIENTS

Javed Iqbal; Naeem Ullah; Shams U Rehman; Alamgir Khan; Faaiz Ali Shah; Mian Amjad Ali

doi:10.46903/gjms/23.3.1939

OUTCOME OF ANATOMIC ACROMIO-CLAVICULAR JOINT (ACCR) RECONSTRUCTION WITH ANTERIOR HALF PERONEUS LONGUS AUTOGRAFT (AHPLT) AND SUTURE TAP AUGMENTATION FOR TRAUMATIC ACJ DISLOCATION IN ADULT PATIENTS

Javed Iqbal, Naeem Ullah, Shams U Rehman, Alamgir Khan, Faaiz Ali Shah, Mian Amjad Ali

Abstract

Background: Acromioclavicular joint (ACJ) dislocations are usually occurred in athletes or person with shoulder injury. Objective of this study was to assess outcome of anatomic ACJ reconstruction using Anterior Half Peroneus Longus autograft and internal bracing in adults with traumatic ACJ dislocations.

Materials & Methods: In this prospective case series study, conducted from January 2021 to December 2023 in department of orthopedics, traumatology and sports medicine MTI, LRH on 28 adult patients (25 male, 3 female) of type III-V ACJ dislocations who underwent ACJ reconstruction were included. Post operative x-ray shoulder, Constant-Murley Score and the self-reported Disabilities of the Arm, Shoulder, and Hand (DASH) score, CCD distance on radiology were used to assess functional and radiological results.

Results: Shoulder function improved post-operatively in all patients. Mean Constant-Murley Score increased from 32.5 ± 8.2 pre-operation to 87.6 ± 5.5 at the 12-month follow-up; p < 0.001. DASH score reduced from 45.2±7.8 to 12.4±4.3, (p < 0.001) reflecting disability improvement. CCD decreased from preoperative value of 22.9 ± 5.4 mm to 10 ± 3.0 mm postoperatively. There was no graft failure.2 patients (7%0 had infection that were treated with medication and got well.

Conclusions: This study showed that stability, radiological and functional results after ACJ reconstruction using Anterior half Peroneus Longus autograft and suture tap were satisfactory in adults with traumatic dislocations.

Keywords

Acromioclavicular joint; Athletes; Dislocation; Peroneus Longus; Reconstruction; Shoulder.

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DOI: https://doi.org/10.46903/gjms/23.3.1939