Surgical Procedures, Operative Clinical Trial
Official title:
A Prospective, Randomised 18 -Year Follow-up Study of Operative and Non-operative Treatment of Acute, Total Acromioclavicular Dislocation.
The purpose of this study is to compare the long-term clinical and radiological results of operative and conservative treatment of Tossy type 3 acromio-clavicular dislocation.
The optimal treatment of Rockwood type 3 AC joint injuries is still controversial. This
controversy results from the low level of evidence of the early literature and the
evaluation of all AC joint injuries with a type I through III classification system.
There are no prospective randomized controlled long-term studies on the treatment of Tossy
type 3 AC dislocation using primary repair and minimal pin fixation.
In this study, the non-surgical treatment consisted of immobilisation of the injured
AC-joint in a Kenny-Howard-type splint for four weeks. The surgical treatment consisted of
an open reduction and fixation of the AC joint with two smooth Kirschner wires (2 mm in
diameter) across the AC-joint. The K-wires were bent at the proximal ends, with suturing of
the superior AC ligament.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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