Operative Treatment of Severe Acromioclavicular Joint Dislocation

VernacularTitle:重度肩锁关节脱位的手术治疗
Author: You-Ming ZHAO ¹ ; Ru-Kang HONG ; Zheng-Wen WANG
Author Information

1. The 2nd Affiliated Hospital of Wenzhou Medical CollegeZhejiang
From: China Journal of Orthopaedics and Traumatology 2001;14(4):202-203
CountryChina
Language:Chinese
Abstract: Objective To explore the operative treatment of severe acromioclavicular joint dislocation.Methods 15 cases of severe acromioclavicular joint dislocation were diagnosed as type Ⅲ injury according to Allman classification system.11 cases had the fibrocartilage removed,reconstruction of the coracoacromial ligament was done in 7 cases,in 3 cases a cancellous screw was inserted between the clavicle and aromion process and complete reconstruction of the acromio-clavicular ligament was performed and fixation was done with 2 K wires.Results The follow-up ranged from 10 months to 6 years,reviewuation of the results was done according to Karlsson.12 cases were graded as A,3B,all patients resumed their preoperative activities.Soft tissue calcification in the coracoclavicular gap in 10 cases,the acromial joint movement was not affected.Conclusion The patients with severe acromiocavicular joint dislocation should be treated with surgery as early as possible.Cross internal fixation with K wires is a simple and effective method,the final outcome is not affected by the resection of fibrocartilage and restoration of coracoacromial ligament.