Acromioclavicular dislocation and distal clavicular fracture fixation comparison of two.docVIP

 PAGE \* MERGEFORMAT 13 Acromioclavicular dislocation and distal clavicular fracture fixation comparison of two Of: Ran Xuejun, Wang Xianlin , Deng Changqing, Zhang Dagang, HU Zhao-Yang, Puchuan Cheng, Bo Hu [Abstract] Objective To compare the use of plug-clavicular hook plate and Kirschner wires plus tension band wire fixation of acromioclavicular dislocation and distal clavicular fracture patients. Methods in our hospital from 1997 to 2005 by pinning plus tension band wire fixation for the treatment of 91 patients with acromioclavicular joint dislocation and distal clavicular fracture and from 2002 to 2007, using plug-clavicular hook plate fixation for the treatment of 57 patients with acromioclavicular joint dislocation and distal clavicle fracture. reset after a fracture or dislocation, the former with 1 2 2.0 or 2.5 mm diameter Kirschner wire from outside to inside penetration by the acromion clavicular outside 1 / 3 near the top of the needle, plus improve the fixation with tension band wire, which first hook clavicular hook plate into the Department of shoulder, and then the body of the steel plate with screws in the clavicle. Results The former 91 patients, 80 patients were followed up for 12 to 18 months, 74 patients were normal healing, 6 patients out Kirschner wire loose, resulting in a fixed second operation failed. The latter 57 patients, 51 patients were followed up for 12 to 20 months, 51 cases were all normal healing, no case of fixed failed. Conclusion plug-clavicular hook plate fixation for the treatment of acromioclavicular dislocation and distal clavicle fracture is simple, reliable fixation, a high success rate, in line with biomechanical requirements, faster postoperative recovery was significantly better than pinning plus tension band wiring. [Keywords:] clavicle, acromioclavicular joint, fracture, dislocation, clavicle hook plate, tension band wiring Abstract: Objective To evaluate the clinical effects of Kirschner’s wire and