Acromioclavicular joint dislocation prevention of complications of fixation.docVIP

 PAGE \* MERGEFORMAT 10 Acromioclavicular joint dislocation prevention of complications of fixation [Abstract] [Objective] To investigate the acromioclavicular joint complications after surgery because preventive measures are summarized. [Methods] Retrospective analysis of May 2003 -2005 after surgery in September of such clinical data of 45 patients. [Results ] 45 patients were followed up, 8 cases of postoperative re-dislocation of shoulder pain in 19 cases, 8 cases of dysfunction. [Conclusion] (1 acromioclavicular joint dislocation with internal fixation and then loosening, tearing, fixed time is not sufficient, coracoclavicular, coracoacromial ligament repair, reconstruction is not ideal on, (2 shoulder pain and dysfunction after exercise with no law and traumatic shoulder inflammation, (3) Prevention is the best way to use rigid internal fixation, attention ligament repair or reconstruction, the use of progressive, proactive, persistent shoulder functional exercise. [Keywords:] acromioclavicular joint; dislocation, arthrodesis, postoperative complications Acromioclavicular joint dislocation is a common injury of the shoulder, severe dislocation required surgery. Arthrodesis if the surgery is not strong, ligament repair is not satisfactory, destruction of normal structure and function of joint exercises no law can lead to further dislocation of the acromioclavicular joint and shoulder joint dysfunction. This paper reviews since May 2003 -2005 on September 4 methods to surgical treatment of acromioclavicular joint dislocation Rockwood classification of patients with grade Ⅲ and above 45 cases, of which more patients had postoperative complications, are reported below. 1 Clinical data 1.1 General information The group of 35 males and 10 females, aged 21 to 69 years old, average 42.5 years old. Which Rockwood 12 degree grade Ⅲ, Ⅳ ° 20, Ⅴ degree in 13 cases. Clavicle combined outer 1 / 3 fracture 7 cases of coracoid process fracture in 2 cases