Endoscopically assisted reconstruction of acute XXXX using a synthetic ligament. Outcomes at 12 months.

@entity1 @entity697 @entity158 @entity2720 @entity3029
OBJECTIVES: The treatment for @entity697 (AC) @entity2720 remains controversial because of the elevated level of complications and related morbidity. The objective of this study was to evaluate clinical outcomes, radiographic results, and the complications after arthroscopic stabilization of acute stages III or IV (Rockwood classification) @entity3029 . MATERIAL AND METHODS: Sixteen @entity1 (15 males and one female) found to have Rockwood stage III or IV @entity2720 were operated. All the @entity1 were stabilized arthroscopically with a synthetic ligament placed between the clavicle and the coracoid. The application of the synthetic ligament reduced the dislocation and stabilized the AC joint, allowing healing of the coracoacromial ligament. Results were assessed clinically (Constant score) and radiographically before and a mean 12 months after the treatment. RESULTS: Despite the excellent clinical results at the last follow-up both in terms of the Constant score (mean, 91 points; range, 60-100) and @entity1 satisfaction, two @entity1 required revision surgery while some had @entity158 over the clavicular button. The X-rays showed three cases of partial loss of reduction due to distal migration of the flip button. DISCUSSION: Arthroscopically assisted treatment of acute @entity2720 is advantageous because it provides good clinical results and few complications. The rate of recurrence and the postoperative loss of reduction requires better definition of the indications and improvement of the surgical implants and technique. LEVEL OF EVIDENCE: Level IV. Prospective cohort study.
