<p><strong>Background:</strong> Acromioclavicular joint dislocation (ACD) of Rockwood types III and above require surgical intervention. We used a unique technique for CC interval fixation using endobutton with two separate small incisions, which did not need dissection through the joint at all. It replaces the anatomical course of conoid and trapezoid part of the CC ligament. The purpose of the present study was to describe an innovative method of fixation and evaluate its functional outcome using subjective as well as objective measures. We aimed to determine whether this fixation method could be an optimal alternative to address this injury.</p><p><strong>Methods:</strong> A total of 24 patients were enrolled for this prospective longitudinal study. Coraco-clavicular distance was calculated radiologically preoperatively and at the final follow up. Clinically, the final outcome was assessed using the Shoulder Constant score and visual analogue scale (VAS) for residual pain at the final follow up.</p><p><strong>Results:</strong> There was no statistically significant difference between the two shoulders and results were considered as an excellent in terms of constant shoulder score. The VAS was 0.42 (0-1) at final follow-up. The coraco-clavicular distance (CC) reduced significantly postoperatively and was comparable to the contralateral side.</p><p><strong>Conclusions:</strong> Our study results suggested that this is a simple, safe and effective technique which needed minimal dissection.</p>
Knee osteoarthritis is a common joint disease, with an incidence of 30% of the population older than 60 years. The current belief is that the load is distributed along the mechanical axis, which is generally medial to the centre of the knee. Osteotomies to change the mechanical axis has been long described as a treatment of medial compartment OA, and proximal fibular osteotomy being the recent addition. The authors aimed to evaluate the change in radiological parameters of the knee alignment and asses its statistical significance. It is a hospital based prospective pre and post interventional study done at New Hospital Medical College Kota. The Sample size was calculated to be 34 subjects at α-error 0.05 and study power 80%. Radiological parameters were assessed in terms of Femorotibial angle, Mechanical axis deviation and Lateral joint space under standard magnification. Radiological parameters depicting the change in knee alignment were found to be statistically significant. Also, it correlates well with that described in other established studies.
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