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Clin Shoulder Elbow > Volume 13(2); 2010 > Article
Clinics in Shoulder and Elbow 2010;13(2):194-201.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.194    Published online December 31, 2010.
The Necessity of Coracoclavicular Ligament Repair in Open Reduction for the Acromioclavicular Joint Dislocations
Eugene Kim, Hun Kyu Shin, Haw Jae Jeong, Jae Yeol Choi, Se Jin Park, Kyubo Choi, Jong Jun Lim
Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. coolhkshin@hanmail.net
견봉 쇄골 관절 탈구의 관혈적 정복술시 오구 쇄골 인대 봉합의 필요성
김유진·신헌규·정화재·최재열·박세진·최규보·임종준
성균관대학교 의과대학 강북삼성병원 정형외과
Abstract
PURPOSE
We evaluated clinical and radiological results for open reduction and internal fixation of acromioclavicular dislocation without coracoclavicular ligament repair after removal of implants. MATERIALS AND METHODS: Clinical and radiological results were obtained for 53 patients who underwent open reduction and internal fixation of an acromioclavicular joint dislocation between 1998 and 2007. A total of 21 patients were treated with a modified-Phemister method and 32 patients were treated with a Hook plate method. All subjects were surveyed after removal of their implants. The Constant scoring system was administered postoperatively to evaluate clinical results. Radiologic outcomes were evaluated by both coracoclavicular intervals on plain films.
RESULTS
Constant scores were 87.59+/-7.8 in the Phemister group and 89.35+/-5.3 in the Hook plate group. For both groups, the mean coracoclavicular interval at preoperative radiography was 15.9 mm at the injured site and 8.0 mm at the opposite site. After metal removal, the mean difference between coracoclavicular distances between normal and injured sites were 1.0 mm for the Hook plate group and 1.2 mm for the modified Phemister method group (p>0.05).
CONCLUSION
Open reduction and internal fixation of an acromioclavicular joint without coracoclavicular ligament repair shows good long-term clinical and radiological results.
Key Words: Acromioclavicular dislocation; Coracoclavicular ligament repair; Modified Phemister; Hook plate


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