Introduction: Transfixation screw and loop fixation with mersilene tape and endobutton both are well established surgical methods for management of acute AC joint injuries.

Materials and Methods: Patients meeting inclusion criteria between June,2013 to June,2015 were operated and followed up subsequently.

Result: Out of 26 patients 1 was lost to follow up and 1 excluded for not meeting inclusion criteria. Eventually, our sample size became 24 out of which Transfixation group and Loop fixation group compromised 12 patients each.

Conclusion: All of our patients reported satisfactory outcomes regardless the procedure adopted. Younger age group and non-meniscal injury group shows better outcome.

Keywords: Acute AC joint injuries, Transfixation screw, Loop fixation with mersilene tape and endobutton.

1. FL. The Genuine Works of Hippocrates. Vol 1 and 2. New York, NY: William Wood; 1886.

2. Beim GM. Acromioclavicular joint injuries. J Athl Train 2000; 35(3): 2617.
3. Flatow EL. The biomechanics of the acromioclavicular, sternoclavicular, and scapulothoracic joints. Instr Course Lect 1993; 42: 23745. 

4. Shin SJ, Yun YH, Yoo JD. Coracoclavicular ligament reconstruction for acromioclavicular dislocation using 2 suture anchors and coracoacromial ligament transfer. Am J Sports Med 2009; 37(2): 34651.
5. Dias JJ, Gregg PJ. Acromioclavicular joint injuries in sport. Recommendations for treatment. Sports Med 1991; 11(2): 12532. 
6. Rockwood CA Jr. Subluxations and dislocations about the shoulder. Injuries of the acromioclavicular joint. In: RockwoodCA Jr, Green DP, editors. Fractures in adults. Philadelphia, PA: JB Lippincott; 1984. p. 860–910. 

7. Wirth MA, Rockwood CA Subluxations and dislocations about the glenohumeral joint. Rockwood CA, Bucholz R, HeckmanJD, Green DP, editors. Rockwood and Green's fractures in adults. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 673–91.
8. Press J, Zuckerman JD, Gallagher M, et al. Treatment of grade III acromioclavicular separations. Operative versus nonoperative management. Bull Hosp Jt Dis 1997;56:77-83.
9. Leidel BA, Braunstein V, Kirchhoff C, Pilotto S, Mutschler W, Biberthaler P. Consistency of long-term outcome of acute Rockwoodgrade III acromioclavicular joint separations after Kwiretransfixation. J Trauma 2009; 66(6): 1666–71.
10. Bosworth BM. Complete acromiocla-vicular dislocation. N Engl J Med 1949; 241(6): 2215.
11. Faraj AA, Ketzer B: The use of a hookplate in the management of acromioclavicular injuries: Report of ten cases. Acta Orthop Belg 2001;67:448-451.
12. Weaver JK Dunn HK: Treatment of acromioclavicular injuries especially complete acromioclavicular separation. J Bone Joint Surg 1972; 54: 1187– 94.
13. Mazzocca AD, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA: A biomechanical evaluation of an anatomical coracoclavicular ligamentre-construction. Am J Sports Med 2006; 34:236-246.
14. Bloom FA. Wire fixation in acromioclavicular dislocation. J Bone Joint Surg 1945; 27: 273–6.
15. Leidel BA, Braunstein V, Kirchhoff C, Pilotto S, Mutschler W, Biberthaler P. Consistency of long-term outcome of acute Rockwoodgrade III acromioclavicular joint separations after Kwiretransfixation. J Trauma 2009; 66(6): 1666–71.
16. Wolf EM, Pennington WT. Arthroscopic reconstruction for acromioclavicular joint dislocation. Arthroscopy 2001;17(5):558-563.
17. Lafosse L, Baier GP, Leuzinger J: Arthroscopic treatment of acute and chronic acromioclavicular joint dislocation. Arthroscopy 2005;21:1017.

Dr Rahul Mandal

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