Optimizing acromioclavicular joint management: A case series on minimally invasive TightRope with double endobutton fixation

Authors

  • Bharath Vadivel Kumar Assistant Professor, Department of Orthopaedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-8358-2311
  • Prem Kumar Kothimbakkam Associate Professor, Department of Orthopaedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-4087-2052
  • Vijayashankar Murugesan Professor, Department of Orthopaedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.3126/ajms.v15i12.68411

Keywords:

Acromioclavicular joint; TightRope; Double endobutton fixation; Rockwood classification; Shoulder injuries

Abstract

Acromioclavicular (AC) joint dislocation constitutes 40% of shoulder injuries, impacting patients across diverse activities. The Rockwood Staging System guides assessment, prompting exploration of the novel TightRope with double endobutton fixation technique to restore AC joint function. This study aims to evaluate the outcomes of the TightRope with double endobutton fixation technique in 20 cases of AC joint dislocation, emphasizing its potential advantages over conventional methods. A case series involving 20 AC joint dislocation cases underwent comprehensive evaluation, including follow-ups and radiological assessments. Surgical interventions were performed using the TightRope with double endobutton fixation technique. The average age was 44.5 years, with a notable prevalence of severe dislocations (Classes V and VI). Surgical interventions demonstrated efficiency, with a brief hospital stay. The innovative technique yielded excellent outcomes, with 90% achieving high Constant–Murley scores. TightRope with double endobutton fixation emerges as a promising, minimally invasive strategy for AC joint dislocation, exhibiting potential in minimizing post-operative complications and expediting recovery. The study advocates for individualized interventions and emphasizes the need for further exploration of long-term implications.

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Published

2024-12-04

How to Cite

Bharath Vadivel Kumar, Prem Kumar Kothimbakkam, & Vijayashankar Murugesan. (2024). Optimizing acromioclavicular joint management: A case series on minimally invasive TightRope with double endobutton fixation. Asian Journal of Medical Sciences, 15(12), 227–232. https://doi.org/10.3126/ajms.v15i12.68411

Issue

Vol. 15 No. 12 (2024)

Section

Case Series

License

Copyright (c) 2024 Asian Journal of Medical Sciences

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