Ligamentoplastie synthétique de la luxation acromio-claviculaire : à propos de 25 cas

The aim of this retrospective study was to evaluate the results of coraco-clavicular ligamentoplasty by TightRope® system. In fact, this retrospective study had been practiced in the period between 2006 and 2008 in only one department by one surgeon. It had been used over 25 patients who had suffered from recent or ancient acromio-clavicular dislocation. Those patients were reviewed with a mean follow-up of 16 weeks. As a result, this revision gives us 80% of subjective and satisfactory appreciations and 96% of good functional outcome as assessed by the Taft score. The results obtained were not statistically modified, neither by age nor by the grade of the injury. None of our patients had declared his intolerance to the ligament, with a decline of 16 weeks. We did not register any case of calcification or arthritis. The synthetic coraco-clavicular ligamentoplasty enables the achievement of good functional results, and also a well-sustained stable reduction of both recent and ancient dislocations. This technique has the advantage of being simple, safe and with no need of any immobilization.