[Surgical management of complete acromioclavicular joint dislocation (Tossy III) with PDS cord cerclage].
29 patients out of 33 with complete acromioclavicular dislocation treated with sewing of ligaments and stabilized with a PDS-cord cerclage could be examined. The criteria of examination were subjective complaints while lifting weight, limited range of motion in the injured shoulder and radiological results after stress with 8 kp. The examination didn't show any relationship between the 3 parameters. 4 patients with poor function had partly no, partly little complaints and if any only little AC-dislocation. On the other hand 4 patients out of 6 with remaining AC-subluxation had no complaints and in no case there was a reduced range of motion greater than 10 degrees. Three patients got postoperative infection of soft tissue or bone, probably caused by incompatibility with PDS-cord, which led to a fair or poor outcome. Instead of this there can be obtained excellent and good results in 75-85% of the cases with this simple method without inserting stabilizing metals trans- or extraarticular.
Gollwitzer
M
M
Klinik für Unfall- und Wiederherstellungschirurgie Kreiskrankenhaus Böblingen.
D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D016687:Polydioxanone; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D013536:Suture Techniques; D013537:Sutures
D016687:Polydioxanone
Operative Versorgung der kompletten Schultereckgelenkluxation (Tossy III) mit PDS-Kordel.