Acromio clavicular joint injuries represent nearly half of all athletic shoulder injuries and Weaver Dunn procedure remains the most common operation at our institute Robert Jones and Agnus Hunt Hospital, for this injury so we assessed the outcome by of this procedure by measuring oxford shoulder scores, perceived deformity, complications and overall patient satisfaction.
Aim and objectives: To access outcome of ACJ Weaver Dunn reconstruction by measuring shoulder Oxford scores, perceived deformity, complications and overall patient satisfaction.
Methodology: A retrospective study of 21 patients performed at our institution from 2008-2013. Data was collected from electronic records and a telephonic interview of all the patients.
Results: We had total 21 patients operated for Reconstruction of Acromioclavicular Joint Injuries Grad III and above using Modified Weaver Dunn Technique between 2008 to 2013 by four Orthopaedic consultants.
We lost one patients in follow up as he could not be contacted and one patient refused to give feedback. Average Oxford score for 19 patients is 21(Max 54 and minimum 12). Average satisfaction was 80. There were 14(82%) patients who were able to return to their sports but three (18%) patients could not resume pre injury level. In addition 13 (76%) patients recovered normally with none to only mild residual deformity. However, 6 (24%) patients had major residual deformity. Overall only three (14%) patients underwent revision procedure.
Conclusion: Modified Weaver-Dunn procedure gives a satisfactory long-term functional outcome in Type 3 ACJ dislocation. Firstly, it shows positive functional outcome and hence better patient’ satisfaction due to fast recovery. Secondly there is no need for a planned secondary procedure which in turn again improves patient’s satisfaction. As a result of above considerations it reduces financial burden for the hospital and patient alike.