Coracoclavicular ligament repair and screw fixation in XXXX .

@entity1 @entity158 @entity2720 @entity528 @entity3029
OBJECTIVES: We evaluated the long-term results of @entity3029 treated with coracoclavicular fixation using a cancellous screw. METHODS: Coracoclavicular fixation was performed using the modified Bosworth technique in 32 @entity1 (24 males, 8 females; mean age 35 years; range 19 to 58 years) with @entity3029 . According to the Rockwood classification, seven @entity1 had type III, nine @entity1 had type IV, 13 @entity1 had type V, and three @entity1 had @entity3029 . Following repair of the coracoclavicular ligament, fixation was performed with a cancellous screw in all but two @entity1 in whom a cortical screw was used. These two @entity1 developed redislocation due to screw cut out and underwent reoperation with cancellous screw fixation and were not included in the final assessments. The screws were removed under local anesthesia after eight weeks postoperatively. The @entity1 were evaluated for cosmetic appearance, functional status, @entity158 , localized tenderness, articular range of motion, and with the functional Constant scoring system. The mean follow up was 3.1 years (range 1 to 8 years). RESULTS: The mean Constant score was 98 (range 92 to 100). The results were excellent in 26 @entity1 (86.7%) and good in four @entity1 (13.3%). There was subluxation of the acromioclavicular joint in one @entity1 (3.3%). The alignment of the acromioclavicular joint was normal in the remaining @entity1 . None of the @entity1 showed @entity528 . All @entity1 were @entity158 -free and achieved full range of motion. CONCLUSION: With ease of application, low complication rate, and low rate of @entity2720 , the modified Bosworth technique is an effective surgical method in providing satisfactory shoulder function in @entity3029 .
