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Clin Shoulder Elbow > Volume 16(2); 2013 > Article
Clinics in Shoulder and Elbow 2013;16(2):130-134.
DOI: https://doi.org/10.5397/CiSE.2013.16.2.130    Published online December 31, 2013.
Treatment of Pseudoarthrosis due to Nonunion of the Acromial Fracture with LCP: Case Report
Yong Min Kim, Kyoung Jin Park, Dong Soo Kim, Eui Sung Choi, Hyun Chul Shon, Byung Ki Cho, Ji Kang Park, Sang Wook Keum, Ho Seung Jeong
Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. oslion@chungbuk.ac.kr
견봉 골절의 불유합으로 기인한 가관절증의 잠김 금속판을 이용한 치료 - 증례보고 -
김용민·박경진·김동수·최의성·손현철·조병기·박지강·금상욱·정호승
충북대학교 의과대학 정형외과학교실
Abstract
A painful pseudoarthrosis will develop due to a delay in diagnosis and treatment, and surgical care is required. Treatment of pseudoarthrosis is really difficult because the acromion is a thin flat bone that is difficult to be fixed firmly. A 52-year-old woman with multiple trauma had an acromial fracture that was not detected until it had caused pain after ambulation. Open reduction and internal fixation with a variable angle locking compression plate for distal radius and autogenous iliac bone graft were performed. At nine months after the operation, there was partial tear in the supraspinatus tendon, and arthroscopic repair of the supraspinatus tendon was performed. At nine months after the operation, radiographs showed a complete union. At three months after tendon repair, the patient had excellent function of the shoulder. We have reported a case of a successful treatment of nonunion and pseudoarthrosis of acromial fracture that is difficult to be fixed.
Key Words: Acromion fracture; Nonunion; Multiple trauma


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