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Clin Shoulder Elb > Volume 9(1); 2006 > Article
Journal of the Korean Shoulder and Elbow Society 2006;9(1):61-67.
DOI: https://doi.org/10.5397/CiSE.2006.9.1.061    Published online June 30, 2006.
The Surgical Treatment of Acute Acromioclavicular Joint Dislocation Using C-C Sling Method and Modified Phemister Operation
Churl-Hong Chun, M.D., Dae-Moo Shim, M.D., Joung-Woo Kim, M.D.**, Ul-Oh Jeung, M.D., Jong-Myoung Lee, M.D., Byung-Chang Lee, M.D.*
Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea Department of Orthopaedic Surgery, Ik San Hospital, Iksan, Korea*
급성 견봉쇄골관절 탈구에서 변형된 Phemister 술식과 C-C sling 술식의 결과 비교
원광대학교 의과대학 정형외과학교실, 익산병원*
The purpose of this study was to compare the method of using coraco-clavicular (C-C) sling with modified Phemister operation by postoperative clinical results, radiologic analysis and complications. Materials and Methods: 33 patients of acromioclavicular joint dislocation were included in this study. Thirteen patients were treated with simple C-C sling method and twenty patients were treated with modified Phemister operation. The assesment of clinical and radiological evaluation were performed and the final results were examined by using the Weitzman’s classification. Results: In the final result of C-C sling method group, forward elevation 161, external rotation 70, internal rotation T8 level, Visual Analogue Scale (VAS) 83.3 points were checked. In modified Phemister operation group, forward elevation 155?, external rotation 67?, internal rotation T6 level, VAS 83.8 points were checked. In coracoclavicular distance of C-C sling method group, pre-operation 12.82 mm and last follow up 8.37 mm were checked. In modified Phemister operation group, pre-operation 12.8 mm and last follow up 7.7 mm were checked. In functional evaluation by the Weitzman criteria, C-C sling group had excellent 8, good 1, fair 1 and modified Phemister group had excellent 13, good 4, fair 3. Conclusion: C-C sling method would be the better than the Modified Phemister operation because of short operation time and smaller skin incision.
Key Words: Dislocation, Acromioclavicular joint, Modified Phemister, C-C sling


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