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題 名 | Treatment of Type Ⅲ Acromioclavicular Dislocation with Coracoclavicular Screw and Transacromion Tension Band Wires: A Report of Seven Cases=以喙鎖螺絲合併經肩峰張力帶鋼絲治療第三型肩鎖關節脫臼之七病例報告 |
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作 者 | 楊瑞成; 施世亮; 施天岳; | 書刊名 | Journal of Orthopaedic Surgery Taiwan |
卷 期 | 27:2 2010.06[民99.06] |
頁 次 | 頁49-54 |
分類號 | 416.61 |
關鍵詞 | 喙鎖螺絲; 經肩峰張力帶鋼絲; 肩鎖關節脫臼; Acromioclavicular dislocation; Coracoclavicular screw; Transacromion tension band wires; Augmented technique; Shoulder injury; |
語 文 | 英文(English) |
英文摘要 | Purpose: Pullout of the coracoclavicular screw sometimes develops after surgical treatment of acromioclavicular dislocation with only one coracoclavicular screw. This fixation method may not tolerate postoperative physiotherapy. The augmented technique was therefore developed to provide an alternative surgical method in treating Rockwood type Ⅲ acromioclavicular dislocation. Materials and Me thods: There were seven patients with seven acromioclavicular dislocation treated with open reduction and internal fixation with a coracoclavicular screw and tension band wires from July 2000 to June 2005. The surgical indications were active, heavy manual workers with Rockwood type Ⅲ acromioclavicular dislocation. Arm sling protection of the involved shoulder was immediately applied postoperatively and lasted for 6 weeks. Both of the passive and active range of motion exercise of the injured shoulder were initiated 6 weeks after the surgery. The implants were removed about 3 months after the surgery. Results: All seven patients with complete follow-up achieved painless full motion of the involved shoulder. No pullout of the coracoclavicular screw was noted postoperatively. No redislocation of acromioclavicular joint developed after removal of the implant. All patients returned to their pre-injury status of work, and all returned to their previous sporting activities, including overhead sports. Conclusions: This modified surgical method for treatment of Type Ⅲ AC dislocation may be a safe alternative procedure, especially in the young, active, and heavy manual workers. |
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