Transosseous osteosynthesis with the Ilizarov fixator for injuries of the acromial end of the clavicle

Abstract

Purpose. To evaluate the potential of using the acromial clavicular end fixation with the Ilizarov fixator.
Materials and Methods. The results of treatment analyzed in 65 patients with the acromioclavicular articulation tears. The technique of closed resetting of the clavicle with subsequent fixation using the Ilizarov fixator made in 42 patients with fresh and old injuries. Open resetting of the clavicular acromial end dislocation, as well as lavsan-plasty with further external fixation using the Ilizarov fixator performed in 12 patients. Open reduction of the ligamentous apparatus with lavsan prosthesis made in 6 patients with long-standing injuries, and fixation of the acromioclavicular articulation performed using the Ilizarov fixator in 5 patients.
Results. Long-term outcomes traced in all the patients, positive results of treatment obtained in 100 % of cases.
Conclusion. The use of transosseous osteosynthesis with the Ilizarov fixator for the acromioclavicular joint restoration demonstrated its high effectiveness.