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Clin Shoulder Elbow > Volume 13(1); 2010 > Article
Journal of the Korean Shoulder and Elbow Society 2010;13(1):34-39.
DOI: https://doi.org/10.5397/CiSE.2010.13.1.034    Published online June 30, 2010.
The Modified Phemister Operation with the Suture Anchor Added for the Augmentation of Conoid Ligament in Acute Acromioclavicular Dislocation
Gi Hyuk Moon, Il Hyun Nam, Yeong Hyun Lee, Ki Choul Kim, Jae Hoon Lee, Gil Yeong Ahn
Department of Orthopedic Surgery, Pohang St. Mary's Hospital, Korea. kkirra@paran.com
견봉쇄골 관절의 급성 탈구에서 원추인대 기능의 강화를 위한 봉합 나사못을 추가한 변형된 Phemister 술식
문기혁·남일현·이영현·김기철·이재훈·안길영
포항성모병원 정형외과
Abstract
PURPOSE
The purpose of this study was to present methods and results for the modified Phemister operation, with a suture anchor added for augmentation of the conoid ligament in cases of acute dislocation of the acromioclavicular joint. MATERIALS AND METHODS: We evaluated 14 cases of acute dislocation of the acromioclavicular joint. This included 11 cases of Rockwood type 3, and 3 cases of type 5. The mean age of patients was 45.2 years. We operated on them using an anchor for augmentation of the conoid ligament in the modified Phemister operation. The average follow-up period was 14 months and post-operative clinical analysis was conducted using the Weitzman classification, VAS Score, Constant Score and KSS Score.
RESULTS
According to Weitzman scores, 13 cases were evaluated as excellent, and one case was good. They had mean joint ranges of forward elevation of 170.7degrees, lateral elevation of 166.4, external rotation of 68.2, and internal rotation to the level of T7. The mean VAS Score was 1.9, mean Constant Score 90.8, and the mean KSS Score 91. Radiologic analysis indicated that all cases had a good result.
CONCLUSION
The modified Phemister operation with a suture anchor added for augmentation of the conoid ligament is very effective clinically in acute dislocations of the acromioclavicular joint.
Key Words: Acromioclavicular joint; Conoid ligament; Acute dislocation; Modified Phemister operation; Suture Anchor


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