Modified percutaneous fixation for the treatment of fresh acromioclavicular joint dislocation.docVIP

 PAGE \* MERGEFORMAT 11 Modified percutaneous fixation for the treatment of fresh acromioclavicular joint dislocation 【Abstract】 Objective To introduce the modified closed reduction and percutaneous pin fixation for the treatment of acromioclavicular joint dislocation. Method of patient supine on the operating table, after the manual reduction of the g’s with a Φ2mm nail through the nail into the locator, and a fixed penetration acromial acromioclavicular joint, bandage suspended after 6 weeks, 3 months to avoid heavy manual labor , 3 months after the nail. Results 1 patients due to broken skin and nails caused by nail tail end of the top positions within 4 weeks of infection in the extraction of g’s nails, 1 case 3 months its review of Klinefelter nail slightly bent, but no dislocation of the acromioclavicular joint, 6 ~ 12 months of follow-up, 1 case of acromioclavicular joint subluxation occurs, efficacy by karlsson grade: A grade of 11 cases, B-level in 1 case. Conclusion The method is simple, trauma and good curative effect and low cost, no incision complications such as infection and scar barrier. Keywords: acromioclavicular joint dislocation with closed reduction g’s nail method of improving restoration and a Knowles nail penetrating shoulderpeak via skin and fixing for treating acromioclavicular joint dislocation 【Abstract】 Objective Introduce the method of improving restoration and a Knowles nail penetrating shoulder peak via skin and fixing for treating acromioclavicular dislocation.Methods Patient lie supine on operation table.Taking a Knowles nail penetrates shoulder peak through positionerandfixacromioclavicular after restoration.The up ˉ per limb is suspended by triangle cloth for6weeks after operation and avoid heavy manual labor in3month.Pull out the nail3months later.Results Knowles nail tail position is infected in a case and; pulled out it in4week.Knowles nail is curved in a case examining in3mo