Acute ACJ Dislocation Type (III&VI): CC Ligaments Reconstruction With AC Ligament Reconstruction vs. CC Ligaments Reconstruction With AC Temporary k Wire Fixation

Launched by BENHA UNIVERSITY · Jun 9, 2025

Keywords

ClinConnect Summary

This clinical trial is studying two different surgical methods to repair a specific type of shoulder injury called an acute acromioclavicular (AC) joint dislocation, which happens when the joint at the top of the shoulder is severely separated. The study compares repairing the damaged ligaments (the strong bands that hold bones together) using either a reconstruction of both the main ligaments or a reconstruction combined with a temporary metal pin (called a K-wire) to hold the joint in place. The goal is to see which method helps patients recover better in terms of shoulder function and X-ray results over six months.

People who might be eligible to join are adults aged 18 or older who have a recent (acute) severe AC joint dislocation of certain types (called Rockwood type III or VI), especially if they were very active before the injury, such as athletes or those with physically demanding jobs. Participants should be healthy enough for surgery and willing to take part in the study. Those with older or different types of shoulder injuries, previous shoulder surgery, infections, or nerve problems in the arm cannot join. If you participate, you can expect to undergo one of these two surgeries and follow-up visits for six months to monitor healing and shoulder function. This study is not yet recruiting patients but aims to find the best surgical option for this shoulder injury.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age at least 18 years old.
• • Acute AC dislocation Rockwood type VI.
• • Acute AC dislocation Rockwood type III patients with pre-injury high level of activity (work or athletic activity).
• • Patient is fit for surgery.
• • Patient is willing to participate.
• Exclusion Criteria:
• • Chronic AC dislocation.
• • AC dislocation Rockwood type (I, II, IV and VI).
• • Previous surgery to the same shoulder, degenerative changes of the glenohumeral joint, shoulder infections, and concomitant neurologic diseases.
• • Associated neurological disorders in the affected limb.