A comparative study on three devices in treatment of dislocation of acromioclavicular joint
- VernacularTitle:三种方法治疗肩锁关节Ⅲ型脱位对照研究
- Author:
Bin LIN
;
Shiming LIN
;
Kejian LIAN
- Publication Type:Journal Article
- Keywords:
Acromioclavicular joint;
Dislocation;
Screw;
Kirschner wire;
Wolter plate
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the results of 3 methods to treat complete dislocation of acromioclavicular joint. Methods Three different surgical techniques were employed: Dewars procedure (in Group A of 32 cases),tension band wiring (in Group A of 44 cases), and Wolter plate fixation (in Group A of 20 cases). There were 81 males and 15 females, or totally 85 cases of acute dislocation and 11 chronic dislocation. Results 96 cases were followed up with an average period of 50 months. Acording to karlssons standards, in group A, 26 patients were assessed as good, 5 as fair and 1 as poor. In group B, 20 patients were assessed as good, 13 as fair and 11 as poor. In group C, 15 patients were assessed as good, 4 as fair and 1 as poor. There were differences between A and B, C and B. But there werent statistic differences between A and C. Conclusion The Dawers procedure is believed to be a good, simple and safe method to treat acromioclavicular joint dislocation, with no need of a second operation to remove the implant and with less complications.
