Abstract:

INTRODUCTION: The aim of this study is to evaluate the patients treated with synthetic ligaments due to acromioclavicular joint dislocation and to compare the effects of different ligaments on clinical outcomes. MATERIALS AND METHODS: Eighteen patients who underwent surgery using synthetic ligaments in our clinic between 2011-2018 due to acute or chronic acromioclavicular joint dislocation were included in the study retrospectively. A total of 18 patients were included in the study. 14 of the patients were male (77.8%) and 4 were female (22.2%). Their average age was 36.5 (19-52). The patients were divided into two groups according to the synthetic bonds that were used. Eleven of the patients were treated with LockDown® (61.1%) and 7 were treated with Tight-rope® (38.9%) system. Clinical outcomes were evaluated according to the Q-DASH scores. Statistical evaluation was made as average, rate, percentage. Mann Whitney-U test was used to evaluate the difference of the averages of the two groups. RESULTS: The mean follow-up time of the patients was 19.72 months. The overall Q-DASH scores of the patients were 6.94 (0-20.45) on average. In the statistical evaluation, there was no significant difference between the two groups between the Q-DASH scores (p:0.771, p>0.05). Implant failure, clavicle osteolysis and instability in the acromioclavicular joint did not develop in our patients. All patients were able to return to their old jobs. CONCLUSION: Treatment of acromioclavicular joint dislocations with synthetic ligaments gives good clinical results. However, there is no difference between two different synthetic bonds.

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