دورية أكاديمية
[Repair of acromioclavicular dislocation with clavicular hook plate internal fixation and coracoacromial ligament transposition].
العنوان: | [Repair of acromioclavicular dislocation with clavicular hook plate internal fixation and coracoacromial ligament transposition]. |
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المؤلفون: | Li X; Second Department of Orthopedics, the General Hospital of Fengfeng Group Limited Company, Handan Hebei, 056200, PR China. liperfect2008@sohu.com, Yang L, Lou H, Wang C, Wu J, Li Z, Yao Y |
المصدر: | Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery [Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi] 2009 Jun; Vol. 23 (6), pp. 654-6. |
نوع المنشور: | Evaluation Study; Journal Article |
اللغة: | Chinese |
بيانات الدورية: | Publisher: Hua xi yi ke da xue Fu shu di 1 yi yuan Country of Publication: China NLM ID: 9425194 Publication Model: Print Cited Medium: Print ISSN: 1002-1892 (Print) Linking ISSN: 10021892 NLM ISO Abbreviation: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Chengdu Shi : Hua xi yi ke da xue Fu shu di 1 yi yuan Original Publication: Chengdu Shi : Hua xi yi ke da xue Fu shu di 1 yi yuan, |
مواضيع طبية MeSH: | Acromioclavicular Joint/*surgery , Clavicle/*surgery , Ligaments, Articular/*surgery , Shoulder Dislocation/*surgery, Adult ; Bone Plates ; Female ; Fracture Fixation, Internal/methods ; Humans ; Male ; Middle Aged ; Young Adult |
مستخلص: | Objective: To explore the operative method and the clinical outcomes of repairing acromioclavicular dislocation by clavicular hook plate internal fixation and coracoacromial ligament transposition. Methods: From August 2004 to December 2007, 12 cases of acromioclavicular dislocation were repaired with the internal fixation of clavicular hook plate and the transposition of coracoacromial ligament. There were 9 males and 3 females aged 22-56 years old (average 32 years old). Causes of injury: 6 cases from falling injury, 4 cases from crush injury and 2 cases from traffic accident. There were 5 cases of the left acromioclavicular dislocation, and 7 cases of the right. According to acromioclavicular dislocation classification set by WANG Yicong, 8 cases were graded as type III, 3 cases as type IV, and 1 case as type V. The time from injury to operation was 3-28 days (average 6 days). The injured arm was hung after operation, and the function training was started 3-5 days after operation. Results: All wounds healed by first intention, and the X-ray films showed complete reposition of acromioclavicular joints was achieved in all cases 1 week after operation. Over the follow-up period of 12-30 months, no plate and screw loosening, hook break and acromion fracture occurred. At 2 months after operation, 2 patients had slight pain when moving the shoulder, and the symptom disappeared when removing the plate. No re-dislocation was observed in all cases after removing the plate at 6-10 months after operation. The function of shoulder joint was assessed by Karlsson evaluation standard 1 year after operation, 11 cases were graded as excellent and 1 case was good. Conclusion: For the repair of acromioclavicular dislocation, the method of combining clavicular hook plate internal fixation with coracoacromial ligament transposition has the advantages of minor wound, easy operation, little influence on the function of shoulder joints, and reliable restoration of the stability of shoulder joint. |
تواريخ الأحداث: | Date Created: 20090715 Date Completed: 20100401 Latest Revision: 20191210 |
رمز التحديث: | 20231215 |
PMID: | 19594007 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1002-1892 |
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