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Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation

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Abstract

Background

The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified Weaver Dunn procedure

Materials and Methods

35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18–48 years (mean age 31 years), were operated using modified Weaver Dunn procedure at our center from May 2005 to June 2010. The dominant side was involved in 25 patients (22 right, 13 left). The mean period from the time of injury to the surgery was 14 days (range 4–26 days). All the patients were assessed with Oxford shoulder score and the time required to return to preinjury level was recorded

Results

At the mean followup of 95 months (range 72–120 months), the mean Oxford Shoulder Score improved from 25 ± 7.2 to 43 ± 6.9. 85% (30 out of 35) patients had satisfactory results, while 15% (5 out of 35) had mild shoulder dysfunction using this scoring system. Five patients had radiological evidence of Grade 2 ACJ subluxation. Out of these five patients, two developed ossification around the coracoclavicular ligament. Three patients had intermittent mild pain without any functional disability, and one had a moderate restriction of shoulder movements

Conclusion

ACJ reconstruction, using the modified Weaver Dunn procedure in ACJ dislocation, is a reproducible procedure and provides a good functional outcome

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Authors and Affiliations

  1. Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, 160 030, India

    Ravi Gupta,  Munish Sood, Anubhav Malhotra, Gladson David Masih, Tanu Khanna & Mukta Raghav

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  1. Ravi Gupta
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  2. Munish Sood
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  3. Anubhav Malhotra
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Correspondence to Munish Sood.

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Gupta, R., Sood, M., Malhotra, A. et al. Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation. IJOO 52, 418–422 (2018). https://doi.org/10.4103/ortho.IJOrtho_469_16

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