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National Journal of Clinical Orthopaedics
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Impact FactorRJIF: 3.25

2023, Vol. 7 Issue 1, Part A
Coracoclavicular and acromioclavicular ligament reconstruction with a cost-effective and reproducible method: A new surgical technique
Author(s): Limbu A, Shah AB and Gurung YB
Abstract: 
Background: Treatment of Acute Acromioclavicular joint injuries is controversial with varieties of treatment modalities. Newer treatment methods are expensive requiring additional cost and advance devices assistance. This technique demonstrates a very cost-effective (less than USD 25) method of fixing Acromioclavicular joint injuries suitable for developing nations.
Methods: From Year 2021 to 2023 we have performed 14 cases (aged 35-65 years) with good results with new surgical technique that utilizes 3- and 4-hole mini stainless-steel plates with no. 5 polyester suture, anatomic landmarks drilling based on study by Nai-Feng Zhu et al. (2015), and additional secure fixation at Acromioclavicular joint. Only 2mm drill holes were used to avoid suture creep. No arthroscopy assisted device, titanium endo-buttons, tension-band, special hardware were used. All patients were counselled for strict post-op rehabilitation protocol for 3 months before full range of motion activities were allowed.
Result: This surgical technique provided secure fixation at coracoclavicular joints as well as acromioclavicular joints with 2mm drill portals with minimum suture creep.
Conclusion: Our technique represents an anatomical, very cost-effective, and very reproducible way for treating acute AC joint separations especially focusing on developing countries.
Pages: 09-11  |  314 Views  70 Downloads
How to cite this article:
Limbu A, Shah AB, Gurung YB. Coracoclavicular and acromioclavicular ligament reconstruction with a cost-effective and reproducible method: A new surgical technique. Nat J Clin Orthop 2023;7(1):09-11 DOI: https://doi.org/10.33545/orthor.2023.v7.i1a.382
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