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Journal of the Korean Shoulder and Elbow Society 1998;1(1):26-34.
Published online March 30, 1998.
A Clinical Analysis of Acute Acromioclavicular Dislocation
Young Kyu Kim, Beom Koo Lee, Do Hyun Moon, Jin Hong Ko, Su Chan Lee, Hong Ki Park, Sang Kyu Cho
Department of Orthopaedic Surgery, Choong Ang Gil General Hospital, Incheon
견봉쇄골 관절탈구의 수술적 치료의 비교
김영규, 이범구, 문도현, 고진홍, 이수찬, 박홍기, 최상규
인천중앙길병원 정형외과
Abstract
The management of acute acromioclavicular dislocations has usually followed the accepted principles of obtaining an anatomical reduction of the joint and maintaining it until soft tissue healing has occurred. So, the preferred treatment for acute acromioclavicular dislocation is controversial. We analysed operatively treated twenty-eight cases for acute acromioclavicular dislocation between February 1994 and January 1997 and reviewed postoperatively to evaluate the results of three different
methods
. We collected retrospectively the data via clinical history, associated injury, type of injury, radiographic review, Taft score, and final results. Follow up time averaged 14 months. ( range, 12 to 27 ) In according to Rockwood's classification, 17 cases were type Ⅲ, 1 case was type Ⅳ, and 10 cases were type Ⅴ. Ten cases were treated with the modified Phemister method, ten cases with the modified Bosworth method and eight cases with the modified Weaver-Dunn method. In patients treated by modified Phemister method, the Taft score was 9.4 points and 8 cases achieved good or excellent results. In patients treated by modified Bosworth method, the Taft score was 9.8 points and 8 cases achieved good or excellent results. In patients treated by modified Weaver-Dunn method, the Taft score was 10.3 points and 7 cases achieved good or excellent results. The overall Taft score was 9.9 points and 23 cases achieved good or excellent results. There were four complications, such as calcification or metallic loosening or breakage of K-wire, but did not influence late results. In conclusions, there was no significant difference of results regarding the different three methods. However, our results indicated that the coracoclavicular ligament reconstruction by transfer of coracoacromial ligament produced better results.
Key Words: Acute acromioclavicular dislocation, Modified Phemister method, Modified Bosworth method, Modified Weather-Dunn method.,


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