Percutaneous Kirschner wires Fixation for Acromioclavicular Joint Separation (type 3) without Fluoroscopy

Abstract

Treatment of AC joint separation (type 3) were controversiai ; consenzative or operative treatment. Operative treatment also had many methods. The method that used K-wires to fix the AC joint by percutaneous technique also required fluoroscopic machine. This study present the new technique that don‘t required fluoroscopic machine.

The patients who came to Samutsakhorn hospital from July 2005-June 2007 and diagnosis as AC joint separation (type 3) and request for operative treatment were include in this study. Eleven patients (10 males, 1 female) age from 21-49 years (average 32.5 years). Follow up time from 2-9 months (average 5.4 months). The result show that K-wires were fixed in the good position for 9 patients and fair position in 2 patients. Shoulder abduction from 100-180 degree (average 165 degree). Quick DASH score from 2.3-38.6 points (average 8.7 points).

This method was a good choice for treatment of AC joint separation (type 3) in the hospital that don’t had a fluoroscopic machine or when the surgeon want to reduce the exposure to the radiation.