Evaluation of comparative results of rehabilitation of patients with acromioclavicular dislocation of the third degree treated by surgical techniques by phemister and vukov

Introduction: In terms of access to treatment of acromioclavicular joint injuries, there are many controversies, especially after the appearance of works that promote "neglecting of injury". Goal: The aim of this paper is to give a comparative analysis of the results of rehabilitation of patients after acute injury of the acromioclavicular joint of the third degree, treated by two surgical techniques: by Phemister and Vukov. Material and methods: In this study, we investigated a total of 60 operated patients: 30 patients were operated by Phemister technique, and 30 by Vukov technique. Results: Postoperative follow-up lasted for one year. Between these two groups, the time when the rehabilitation process began is significantly different p<0.01. With technique by Vukov, the rehabilitation begins on the first postoperative day and with technique by Phemister it begins later (after 7 weeks outpatient). With technique by Phemister, rehabilitation lasted on average 60 days, and with technique by Vukov on average 40 days. The duration of recovery is also significantly different p< 0.01, with technique by Vukov the duration time is shorter, and therefore the process of rehabilitation in days - is shorter than with the other technique. Both techniques gave good stability of the lateral end of clavicle. The difference was not statistically significant p> 0.05, which means that both techniques can be applied depending on the indication and the experience of the surgeon.