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Aim <p>To assess the functional outcome of surgical treatment using anatomical double bundle acromioclavicular Joint Reconstruction (ACJR) with Semitendinosus graft (STG), a novel technique for the treatment of acromioclavicular joint (ACJ) dislocation. </p> Methods <p>In this prospective study, patients with ACJ dislocation with acute (&lt; 6&#xa0;weeks) and chronic injury (&gt; 6&#xa0;weeks), categorized according to Rockwood classification were included, operated using a novel technique. Patients were evaluated using Oxford shoulder score (OSS) and visual analog score (VAS) at months 1, 3, 6 and 12.</p> Results <p>Of the thirty adult patients (males 22; females 08), 5, 10 and 15 were in Rockwood Grade 3, 4 and 5, respectively. The mean ± SD age was 33 ± 7.5&#xa0;years (range 18–48&#xa0;years). Right sided injury (<i>n</i> = 18), involvement of dominant side (<i>n</i> = 21) was more frequent. The mean duration from the time of injury to surgery was 15&#xa0;days (range 4–26&#xa0;days). The mean follow-up period was 12&#xa0;months (range 8–16&#xa0;months). The mean OSS improved from 26 ± 7.3 to 37.88 ± 5.78 at month 3 and 44 ± 6.4 (<i>P</i> = 0.001) at month 12; VAS score increased from a mean 8.5 ± 1.02 at baseline to 3.53 ± 1.42 at month 3 and 0.95 ± 0.22 at month 12 (<i>P</i> = 0.001). The outcome was satisfactory in 86.66% patients while 13.34% had mild shoulder dysfunction. Intermittent mild pain without any functional disability (<i>n</i> = 02), and a moderate restriction of shoulder movements (<i>n</i> = 01) were reported.</p> Conclusion <p>ACJR using anatomical double bundle STG in ACJ dislocation is a functional, efficient, reproducible and cost-effective procedure in all the patients including sportspersons and high demand professionals.</p>

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A Novel Anatomical Double Bundle Acromioclavicular Joint Reconstruction with Semi Tendinosus Graft—A Functional Outcome Assessment Study in a Tertiary Care Hospital Of Eastern India

  • 期刊论文

  • 发表日期：

    2025年5月14日

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  • Chinmay Mandal,
  • Udeepto Lodh,
  • Anuvab Goswami,
  • Anindya Basu,
  • Aniruddha Sengupta,
  • Subhan Adhikary

摘要

Aim

To assess the functional outcome of surgical treatment using anatomical double bundle acromioclavicular Joint Reconstruction (ACJR) with Semitendinosus graft (STG), a novel technique for the treatment of acromioclavicular joint (ACJ) dislocation.

Methods

In this prospective study, patients with ACJ dislocation with acute (< 6 weeks) and chronic injury (> 6 weeks), categorized according to Rockwood classification were included, operated using a novel technique. Patients were evaluated using Oxford shoulder score (OSS) and visual analog score (VAS) at months 1, 3, 6 and 12.

Results

Of the thirty adult patients (males 22; females 08), 5, 10 and 15 were in Rockwood Grade 3, 4 and 5, respectively. The mean ± SD age was 33 ± 7.5 years (range 18–48 years). Right sided injury (n = 18), involvement of dominant side (n = 21) was more frequent. The mean duration from the time of injury to surgery was 15 days (range 4–26 days). The mean follow-up period was 12 months (range 8–16 months). The mean OSS improved from 26 ± 7.3 to 37.88 ± 5.78 at month 3 and 44 ± 6.4 (P = 0.001) at month 12; VAS score increased from a mean 8.5 ± 1.02 at baseline to 3.53 ± 1.42 at month 3 and 0.95 ± 0.22 at month 12 (P = 0.001). The outcome was satisfactory in 86.66% patients while 13.34% had mild shoulder dysfunction. Intermittent mild pain without any functional disability (n = 02), and a moderate restriction of shoulder movements (n = 01) were reported.

Conclusion

ACJR using anatomical double bundle STG in ACJ dislocation is a functional, efficient, reproducible and cost-effective procedure in all the patients including sportspersons and high demand professionals.