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Journal of the Korean Shoulder and Elbow Society 1999;2(1):8-13.
Published online June 30, 1999.
Key-hole Technique in Treatment of A-C Dislocation - Preliminary Report -
Chang-Hyuk Chou, Koing-Woo Kwun, Shin-Kun Kim, Sang-Wook Lee, Young-Jun Yun
Department of Orthopaedic Surgery, School of Medicine, Catholic University of Taegu-Hyosung, Taegu, Korea
Key-hole 술식을 이용한 급성 견봉쇄골관절 탈구의 치료-예비보고-
최창혁, 권굉우, 김신근, 이상욱, 윤영준
대구효성가톨릭대학교 의과대학 정형외과학교실
Abstract
The results of the operative treatment of the Grade III acromioclavicular joint injury is defined by the durability of the reduced joint and free of exertional pain. Several surgical techniques have been applied to reduce and stabilize the joints effectively. Resection of clavicular lateral end and subacromial decompression also could be applied to prevent post-operative arthritic change. Biomechanical studies reveals the role of clavicular elevation and rotation to achieve more than 90 degrees of elevation. It also serves as a attachment site of deltoid and trapezius muscle. The stability and mobility of the both acromioclavicular and coracoclavicular joint are important to get full functional recovery. We modified the methods of coracoacromial ligament transfer described by Weaver-Dunn and by Shoji et a!. to pre­vent pullout of the transferred ligament and to get more improved functional results. Main technical point was harvesting full thickness bone block and fix it through the key-hole to reduce pull out angle
Key Words: Acromioclavicular joint; Dislocation; Key-hole method
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