| The Surgical Treatment of Type V Acute Acromioclavicular Joint Dislocation Using Suture Anchor and Kirschner Wire |
| Gu Hee Jung, Chyul Hyun Cho, Su Jin Jang, Jae Ho Jang, Jae Do Kim |
1Department of Orthopedic Surgery, Gospel Hospital, Kosin University, Busan, Korea. jyujin2001@kosin.ac.kr
2Department of Orthopaedic Surgey, School of Medicine, Keimyung University, Daegu, Korea. |
| 봉합 나사못과 Kirschner 강선을 이용한 제 5형 급성 견봉 쇄골 관절 탈구의 수술적 치료 |
| 정구희·조철현*·장수진·장재호·김재도 |
| 고신대학교 복음병원 정형외과학교실, 계명대학교 의과대학 정형외과학교실* |
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| Abstract |
PURPOSE
We wanted to evaluate the clinical outcomes after operative treatment using two suture anchors and Kirschner wire for treating acute Rockwood type V acromioclavicular joint dislocation.
MATERIALS AND METHODS: Between May 2006 and May 2009, 10 patients underwent surgical treatment for acute Rockwood type V acromioclavicular joint dislocation using two suture anchors and Kirschner wire and they were followed for a mean of 12.0 (range: 7-31) months. We analyzed the functional results by the Korean shoulder score, the Constant-Murley score and the reduction state of the acromioclavicular joint at the last follow-up.
RESULTS
All the cases achieved a satisfactory outcome. The mean Korean shoulder score was 89.9 (range: 81-100) points and the mean Constant-Murley score was 87.8 (range: 82-93) points. According to the radiologic findings, 8 patients achieved anatomical reduction of the acromioclavicular joint: there was a slight loss of reduction in one patient and a partial loss of reduction in one patient. None of the patients had deep infection or re-dislocation.
CONCLUSION
The operative treatment using two suture anchors and Kirschner wire may be used for acute Rockwood type V acromioclavicular joint dislocation, and it has an advantage in that it can prevent chondral injury of the joint. |
| Key Words:
Acromioclavicular joint; Dislocation; Suture anchor; Kirschner wire |
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