Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Acute acromioclavicular joint (ACJ) dislocations and lateral clavicle fractures are common injuries that can significantly impact shoulder function, particularly in physically active individuals. The severity of ACJ dislocations is typically classified using the Rockwood classification system, ranging from Type I (mild sprains) to Type VI (severe dislocations with significant displacement and ligamentous disruption). Similarly, lateral clavicle fractures, particularly those involving the distal third of the clavicle, present challenges due to the high mobility of this region and the limited soft tissue support, often resulting in delayed healing or nonunion. The procedure employs a four‐strand, single‐tunnel, double‐endobutton repair, which is performed entirely percutaneously without arthroscopic guidance or deep surgical dissection. The goal of this technique is to provide a stable yet minimally invasive solution for these injuries, allowing for quicker recovery while achieving results comparable to traditional surgical methods. This study included a consecutive series of six patients who underwent percutaneous endobutton fixation for acute acromioclavicular joint (ACJ) dislocations or lateral clavicle fractures with the inclusion criteria of type III to type V AC Joint injuries or Neer Type 2 Distal Clavicle fractures with the age group of 18 to 60 years. A total of six patients underwent percutaneous endobutton fixation for acute acromioclavicular joint (ACJ) dislocations or lateral clavicle fractures. The mean follow‐up period was six months. The primary outcomes assessed included surgical time, radiographic correction of the coracoclavicular (CC) distance, functional recovery and postoperative complications. Percutaneous endobutton fixation for acute ACJ dislocations and distal clavicle fractures demonstrates favourable outcomes in terms of surgical efficiency, anatomical reduction, functional recovery, and low complication rates. This minimally invasive approach offers a viable alternative to traditional open surgical methods, potentially leading to faster recovery and improved patient satisfaction.
How to cite this article:
K.C. Mathew, A.J. Sukaash, S. Kavin Raja, J. Sugin Glen Baisil and Gowtham Raj. Minimally Invasive Endobutton Fixation for Acute Acromioclavicular Joint Injuries and Lateral Clavicle Fractures.
DOI: https://doi.org/10.36478/makrjms.2024.10.678.682
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.10.678.682