[Experience with the surgical management of rupture of the capsule and ligament of the acromioclavicular joint].
Evaluating the surgical results obtained with 74 cases of acromioclavicular dislocation the authors review the problems of diagnostics and surgical treatment of the injury. It is pointed out that the restoration of the functional anatomical condition--and simultaneously the reduction of the number of posttraumatic complaints--may be ensured only with operation in cases of severity grade II and III. However the results of the operative techniques applied in a rather wide range at present do not come up to expectation. The disturbances of healing are due in the majority of the cases to the use of implants unsuitable from biomechanical point of view. The application of appropriately solid acromioclavicular plates means significant progress in this field. The time and way of restoration of the injured capsule and ligament system influences decisively the results. Sutures of the ligament applied within 24 hours after the injury heal well. If the ligaments show strong splitting up or the operation is performed delayed plastic reinforcement or completion is justified in each case owing to the partial resorption. From the viewpoint of the surgical technique the use of the softpart flaps formed from the environment appear to be the most favourable.
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D000059:Accidents; D000173:Acromioclavicular Joint / Q000293:injuries* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D001860:Bone Plates; D002358:Cartilage, Articular / Q000293:injuries / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012421:Rupture
Tapasztalataink az acromioclavicularis ízületi tok és szalagszakadások mütéti ellátásában.