ACROMIOCLAVICULAR RECONSTRUCTION WITH THE TIGHTROPE TECHNIQUE PRESENTATION OF A CASE

Nataly Sofia Valdiviezo Allauca; Veiky Lissette Moreano Condor; Jessica Paulina Masapanta Yanchapanta; Kerly Renata Guilcamaigua Quilachamin; Roxana Isabel Singo Guamanarca

Volume : IX, Issue : VI, June - 2020

ACROMIOCLAVICULAR RECONSTRUCTION WITH THE TIGHTROPE TECHNIQUE PRESENTATION OF A CASE

Nataly Sofia Valdiviezo Allauca, Veiky Lissette Moreano Condor, Jessica Paulina Masapanta Yanchapanta, Kerly Renata Guilcamaigua Quilachamin, Roxana Isabel Singo Guamanarca

Abstract :

The anatomy of the acromioclavicular joint and its complex role in the movement of the shoulder continue to be essential for the treatment of his injuries. The affection of the acromioclavicular joint is approximately 12% of those that occur in the shoulder girdle, with a male-female ratio of 8: 1; it is frequent in athletes. Most acromioclavicular dislocations occur from a direct blow to the shoulder with the adducted arm, injuring the acromioclavicular and coracoclavicular ligaments. The initial approach should include a clinical and radiographic evaluation of the acromioclavicular joint, even with special radiographic views. The bibliography describes more than 60 techniques for the reconstruction of the coracoclavicular ligament complex; however, there is no agreement on an ideal technique. 1,2 We present the case of a young adult patient, without significant personal history, who comes to our military hospital Quito-Ecuador due to a direct impact on the right shoulder, causing a bicycle fall, without loss of consciousness, where after an examination of The image is diagnosed with a distal third clavicle dislocation grade III, which is why surgical intervention is decided, choosing the TightRope technique as the best option due to its benefits over other techniques and being minimally invasive, with favorable results for our patient. Objective: Describe which is the best surgical technique for the treatment of an acromioclavicular dislocation, presenting a clinical case and its results. Methodology This is a retrospective study of the TightRope surgical technique, emphasizing its positive results when implementing this method in a patient with acromioclavicular dislocation. Conclusion: Currently the use of minimally invasive techniques are those that are chosen for their benefits. However, it must be taken into account that in our case where there was a type III clavicle fracture, TightRope AC surgery was chosen as the best option. The open technique described in this work is reproducible, without osteolysis or loss of reduction associated with the use of sutures in the short term.