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Journal of the Korean Shoulder and Elbow Society 2001;4(1):17-23.
Published online June 30, 2001.
Surgical Treatment for Acute Acromioclavicular Joint Dislocation
Jeong Hwan Kim, M.D., Chong Kwan Kim, M.D., Saeng Guk Lee, M.D., Young O Kim, M.D., Jae Kyu Park, M.D., Jong Ho Yoon, M.D.
Department of Orthopaedic Surgery, Masan Samsung Hospital, Sungkyunkwan University, College of Medicine
급성 견봉쇄골관절 탈구의 수술적 치료
김정환, 김종관, 이상국, 김영오, 박재규, 윤종호
성균관대학교 의과대학 마산삼성병원 정형외과학교실
Abstract
There has been considerable controversy concerning the methods for treatment of dislocation of the acromioclavicular joint, especially in grade III injury. The authors have treated 24 cases of the complete dislocation of the acromioclavicular joint from January 1990 to July 2000. We performed 14 cases of coracoclavicular wiring operation, 10 cases of modified Phemister operation and compared the results and complication of wiring operation with modified Phemister. The clinical results in modified phemister operation were excellent in 8 cases(80%), good in 1 case(10%), fair 1 case(10%). In wiring operation, excellent is 11 case(78%), good is 2 case(14%), fair is 1 case(14%). The complications of modified Phemister operation were breakage and migration of K-wire in 2 cases. In wiring operation, breakage of wire was in 2 cases but migration was not showed. We prefered coracoclavicular wiring operation for dislocation of acromioclavicular joint of active young adults because of the following advantages: 1) violation of acromioclavicular joint can be avoided but rotation of the clavicle was not restricted. 2) The operation is simple to perform. 3) Postoperative immobilization is minimal. 4) Removal of the wire is easy because wire was not migrated when breakage of wire was occured.
Key Words: Acromioclavicular joint, Dislocation, Wiring operation, Modified Phemister operation.


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