Acute, high-grade Acromioclavicular joint dislocations were
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A Study was conducted to describe a new technique for implanting a double-bundle titanium cable to treat acromioclavicular (AC) joint dislocation via the new guider, and evaluate clinic outcomes.

A retrospective study of 20 patients treated for acute high-grade acromioclavicular joint dislocation, were managed with double-bundle titanium cable. It includes the following steps: (1) Put the guider under the coracoid close to the cortical; (2) drill proximal clavicle; (3) place the titanium cable; (4) perforate distal clavicle, (5) reset the acromioclavicular joint and lock titanium cable; and (6) suture the acromioclavicular ligament.

Results:
--All patients presented following at a median duration of 15 months (12-24months) after the surgery based on X-ray evaluation and clinic evaluation.

--The median CCD was 7.5 mm, the VAS score was 0.55, the CMS score was 95.5.

--One patient had subluxation again at the final follow-up based on X-ray examination.

In conclusion, this study shows that anatomically fixing the AC joint with double-bundle titanium yielded excellent results in terms of shoulder joint function and radiographic outcomes. It has a low rate of complications and does not need the removal of hardware.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02442-1
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