Stable functional osteosynthesis with trans- osseous fixation in dislocations and fracture- dislocations of acromial end of clavicula

The evaluation of 141 patients with dislocations and fracture-dislocations of acromial clavicula end was performed. All patients were divided into 3 groups depending upon the treatment method. Two groups were the control ones: 1st - 52 patients (36.9%) were treated conservatively; 2nd - 44 patients (31.2%) were operated on; 3rd - 45 patients (31.9%) were subjected transosseous osteosynthesis using the author’s device. The description of the device and osteosynthesis technique was given. The device allowed to perform the complete reposition, elimination of all types of displacement and provided the stable fixation at any position of the patient’s body. It was possible to perform additional correction when necessary. The long-term results assessed using specially elaborated score system showed that conservative treatment gave good and satisfactory outcomes in 66.7% of cases, in operative treatment such results were achieved in 79.5% of cases and in 97.7% of cases when the suggested technique was used.