Clinical Results of Flexible Coracoclavicular Fixation with Fiber Tape in Acromioclavicular Dislocation. A Retrospective Study

Background: The injury to the acromioclavicular joint is very common in the young athlete population.Treatment, depending on the type of injury, can be conservative or surgical.There are multiple surgical options described in the literature for these injuries and there is no consensus regarding the best surgical technique.The objective of this study is to describe the clinical results of the surgical management of acromioclavicular dislocations with the use of a double loop of subcoracoid Fiber Tape.Methods: We retrospectively reviewed the cases of acromioclavicular dislocations that required surgery (Rockwood types IIIb, IV, V and VI) between 2014 and 2017, operated by the same surgical team in the same center.In all cases, the surgical technique included the fixation with double loop of subcoracoid Fiber Tape.All patients were assessed radiographically and clinically using The Constant Score and The Disabilities of the Arm, Shoulder and Hand Score at six months follow-up.All patients underwent the same rehabilitation protocol.Results: A sample of 124 patients with acromioclavicular dislocation treated with open surgery was obtained.The average age was 35 years.The mean post-operative Constant score was 93.The mean post-operative Disabilities of the Arm, Shoulder and Hand Score was 6.2.There were 3 cases of minimal loss of range of motion, 21 cases of slight loss of radiological reduction, and 4 cases of mild pain at 6 months of follow-up, but all without clinical repercussion in their activities of daily life.There was 1 case of complete loss of reduction (handled in another rehabilitation center).All the patients returned to their usual activities, including work and sports. Conclusion:The postoperative results were satisfactory, and the complication rate was low with this technique.The fixation with double loop of subcoracoid fiber tape is a valid surgical option for the management of acromioclavicular dislocations.