| A Clinical Analysis of Acute Acromioclavicular Dislocation |
| Young Kyu Kim, Beom Koo Lee, Do Hyun Moon, Jin Hong Ko, Su Chan Lee, Hong Ki Park, Sang Kyu Cho |
| Department of Orthopaedic Surgery, Choong Ang Gil General Hospital, Incheon |
| 견봉쇄골 관절탈구의 수술적 치료의 비교 |
| 김영규, 이범구, 문도현, 고진홍, 이수찬, 박홍기, 최상규 |
| 인천중앙길병원 정형외과 |
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| Abstract |
The management of acute acromioclavicular dislocations has usually followed the
accepted principles of obtaining an anatomical reduction of the joint and maintaining it
until soft tissue healing has occurred. So, the preferred treatment for acute
acromioclavicular dislocation is controversial. We analysed operatively treated
twenty-eight cases for acute acromioclavicular dislocation between February 1994 and
January 1997 and reviewed postoperatively to evaluate the results of three different
methods
. We collected retrospectively the data via clinical history, associated injury, type
of injury, radiographic review, Taft score, and final results. Follow up time averaged 14
months. ( range, 12 to 27 ) In according to Rockwood's classification, 17 cases were
type Ⅲ, 1 case was type Ⅳ, and 10 cases were type Ⅴ. Ten cases were treated with
the modified Phemister method, ten cases with the modified Bosworth method and eight
cases with the modified Weaver-Dunn method. In patients treated by modified Phemister
method, the Taft score was 9.4 points and 8 cases achieved good or excellent results. In
patients treated by modified Bosworth method, the Taft score was 9.8 points and 8
cases achieved good or excellent results. In patients treated by modified Weaver-Dunn
method, the Taft score was 10.3 points and 7 cases achieved good or excellent results.
The overall Taft score was 9.9 points and 23 cases achieved good or excellent results.
There were four complications, such as calcification or metallic loosening or breakage of
K-wire, but did not influence late results. In conclusions, there was no significant
difference of results regarding the different three methods. However, our results
indicated that the coracoclavicular ligament reconstruction by transfer of coracoacromial
ligament produced better results. |
| Key Words:
Acute acromioclavicular dislocation, Modified Phemister method, Modified Bosworth method, Modified Weather-Dunn method., |
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