Arthroscopic Assisted Coracoclavicular Stabilization Alone Versus Additional K-wire Fixation for Acute Acromioclavicular Joint Injury: A Randomized Controlled Trial

What this Trial Is About

Researchers are evaluating two surgical methods for treating acute acromioclavicular joint injury (ACJI), a common shoulder injury often caused by direct force to the shoulder. The study compares functional and radiologic outcomes between arthroscopic assisted coracoclavicular (CC) stabilization alone and the same procedure with additional K-wire fixation. The goal is to see if adding K-wire fixation changes recovery outcomes such as joint stability and shoulder function. Participants will be randomly assigned to one of two groups: one receiving arthroscopic assisted CC stabilization with an extra K-wire device inserted from the acromion process to the distal clavicle, and the other receiving only the arthroscopic assisted CC stabilization without K-wire. This device is used as an additional fixation tool. The study will assess outcomes over a year to compare effectiveness. During the study, participants will have their shoulder function measured using scores like ACJI, Constant, DASH, and pain levels (VAS) at multiple time points including 3, 6, and 12 months after surgery. Radiologic outcomes such as coracoclavicular distance and gleno-acromio-clavicular angle will be monitored at specific intervals from day 1 post-surgery up to one year. These assessments help track the joint stability and recovery progress throughout the follow-up period.

Arthroscopic Assisted CC Stabilization Alone VS Additional K-wire Fixation for Acute Acromioclavicular Joint Injury