Treatments of Chronic Acromioclavicular joint dislocation are controversial. Many procedures have been described in the past for the management of them. Treatment modalities have changed with increasing understanding of the nature of the problem, patient expectations and the biomechanics of the joint

Treatments of Chronic Acromioclavicular joint dislocation are controversial. Many procedures have been described in the past for the management of them. Treatment modalities have changed with increasing understanding of the nature of the problem, patient expectations and the biomechanics of the joint

To assess the functional outcome of the chronic AC joint dislocations treated by modified Weaver-Dunn procedure combined with Acromioclavicular joint augmentation.

We treated 54 patients with chronic AC joint dislocation by modified Weaver-Dunn procedure with additional AC joint augmentation. We used tight rope system in 20 patients, Mersilene tape in 22 patients and no 5 Ethibond in 12 patients.

This Study was done between Jan 2003 to Jan2012. Mean follow up was 20 months, mean age of the patients was 35, and male to female distribution was 48:6. We assessed them clinically and radio logically during their follow up. All patients were back to their occupation. 80% are back to their pre injury sporting activity level. The mean Disabilities of the Arm, Shoulder, and Hand (DASH) score was 10.2 points. One patient had a failure of augmentation device.

Our study shows that chronic symptomatic AC joint dislocations, (Rockwood types III to V,) Managed with modified modified Weaver-Dunn procedure with augmentation are showing good short term results. Significant improvement in the patient satisfaction, early return to work and radiological appearance

Introduction: Tendo Achilles repair is a controversial subject. We have treated 19 patients with acute Tendo Achilles rupture with this technique.

Method: Retrospective and Prospective study. Patients with acute Tendo Achilles ruptures were selected for this study. By standard postero-medial incision, Tendo Achilles repair was undertaken with 1 Loop Polydiaxone ‘suture frame’ to maintain the length: tension ratio of the tendon, Tendon edges were approximated without bunching so that the original tendon length is restored. As a consequence of the restoration of tendon length and the strength of the suture frame we are able to immediately place the foot in a plantigrade position. This helps in accelerated rehabilitation programme. Post operatively below knee back slab and non weight bearing for two weeks, followed by full cast, wt bearing as pain allowed.

Results: Sex distribution was Male: Female 12:7, average age 43, average follow-up was 43 months, most common mechanism of injury was sporting activities(78%). All patients were discharged on the next day except one (medical problem). There was no complication before discharge. There was no evidence of re-rupture or Sural nerve damage. The average time taken for surgery was 42minutes. All patients are back to their occupation at an average time of 10 weeks, 70% are back to the sporting activities at 22 weeks. Patient satisfactory score was 9.2 out of 10(VAS), no knot palpability in any patient. Patients have normal ankle movements and all patients are able to stand on the tip toes.

Discussion: This is a new and simple technique and results are encouraging. Early rehabilitation, less complications, high patient satisfaction rate. There was no change in occupation, 100 % were back to work, 70 % have returned to the sporting activities.