TENSION BAND WIRING ON CHRONIC ACROMIOCLAVICULAR JOINT DISLOCATION ROCKWOOD TYPE III/ISAKOS TYPE IIIB AT DR. ZAINOEL ABIDIN HOSPITAL, INDONESIA: A CASE PRESENTATION

Abstract

ABSTRACT

Purpose: To present a case of chronic ACJ dislocation Rockwood Type III/ISAKOS Type IIIB and evaluate the effectiveness of the tension band wiring (TBW) as a treatment option. Benefit:  Tension band wiring (TBW) technique with K-wires is an efficient and requires less time surgical technique, faster rehabilitation for active patients and helping them attain a stable and pain free shoulder without any post-operative complications. Implementation: TBW is a cost-effective technique that can be easily implemented in rural areas. Results: After treatment with TBW technique,  functional outcomes were assessed using DASH (Disabilities of The Arm, Shoulder and Hand) score and Constant score. Three months and two weeks post-operation, the Constant score improved from 61 to 92 and DASH score decreased from 45 to 5. TBW can be an option of treatment in chronic ACJ dislocation Rockwood type III/ISAKOS type IIIB with excellent clinical results