Modified Dewar Treatment of acromioclavicular joint dislocation Clinical analysis of 13 cases of.doc

 PAGE \* MERGEFORMAT 10 Modified Dewar Treatment of acromioclavicular joint dislocation Clinical analysis of 13 cases of Author: Marvin Cheung, Sun Jianguo, Zhang Ping, Ma Hongbin Keywords:: acromioclavicular joint / dislocation; surgery / therapy Acromioclavicular joint dislocation is a common shoulder injury, treatment, many ways. Surgery in our hospital in January 1996 ~ August 2003 were treated Allman Ⅱ ~ Ⅲ degree of dislocation of 23 patients, application of improved methods for De-war acromioclavicular joint reduction, temporary Kirschner wire fixation, osteotomy of distal clavicle, coracoid Comprehensive surgical treatment of 13 patients transplanted satisfactory outcome, are summarized as follows: A clinical data 1.1 General Information The group of 13 patients were male, aged 19 to 52 years, mean 35.5 years old, five cases of left shoulder, right shoulder in 8 cases. Have a clear history of trauma, of which two cases of car accident injuries, riding a motorcycle or bicycle injury in 4 cases, donkey falls in 1 case, height fall injury in 6 cases, with cerebral contusion, splenic rupture, multiple fractures of the right wrist, injured three cases. Time between injury and surgery, 4 cases within 1 week, 3 months or less in 8 cases, 6 months and 1 (the outer plate fixation of distal clavicle fracture dislocation was found among taking). X-ray examination 13 patients with bilateral clavicular coracoid process distance measurement comparison, the average lateral dislocation of 12.8mm, contralateral average 7.6mm, the average increase 5.2mm, are in line with Allman Category Ⅲ degree dislocation. 1.2 surgical Approach using the outer shoulder down ‘L’ incision, separation Chutou vein retractor to protect. Exposed and clean up the acromioclavicular joint, free the outer end of clavicle, acromion, in the 0.5 ~ 1.0cm from the joint surface at the direction of a slight tilt to the acromion cut away the outer end of clavicle, coracoid process in the cor