Injuries to the acromioclavicular (AC) joint represent a spectrum of soft tissue disruptions that can result in mild, transient pain to significant displacement, chronic pain & changes in shoulder biomechanics resulting in longterm disability. The aim of our study was mainly to analyze the functional outcome of complete acromioclavicular injuries treated with K wire and Tension Band Wiring. 20 cases of acromioclavicular disruption (type III – V) were treated with open reduction and tension band wiring in Division of Orthopaedics, Rajah Muthiah Medical College, Annamalai University. Closed acute complete acromioclavicular joint disruptions (Rockwood and Young type III-VI) between the age group of 18-60 years were included in the study. Chronic disruption & compound injuries were excluded from the study. After obtaining informed consent and anaesthetic fitness, open reduction & tension band wiring was done. Post operative X-rays assessed. All patients underwent a standardized post operative protocol with imobilisation in strapping for 3 weeks. After which shoulder mobilization started. Functional outcome assessed at regular interval using DASH & CONSTANT scores.

RESULTS: At the last follow-up, 18 patients had an excellent outcome as assessed by Constant score, DASH scores. One patients had good outcome. One patient had fair outcome. CONCLUSION: Tension band wiring in acute complete Acromioclavicular injuries has resulted in excellent functional outcome. Though there is risk of implant breakage and need for implant removal at later stage, this technique has the advantage of being cost effective, short surgical time and early rehabilitation.

KEY WORDS: DASH- The Disabilities of the Arm Shoulder and Hand Score.

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