[Results of treatment of acute grade III acro-myo-clavicular dislocation by closed reduction and Kirschner wires fixation].
Eight patients with acute, grade III acromioclavicular dislocation were treated by closed reduction and fixation with Kirschner wires introduced through the acromion into distal end of the clavicle. Desault plaster cast was discarded and K-wires removed after 6 weeks (in 3 patients after 4 weeks due to loosening). Minimum follow-up was 2 years. Patients were assessed with a 100 points scale of Kawabe et al., initial and final radiographs were compared. Four results were rated excellent (between 90 and 100 points), 3 results good (between 80 and 89 points) and in one case result was fair. Normal anatomy of acromioclavicular joint has been found in 75% of patients. Partial loss of reduction was found in two patients. It has been concluded, that closed reduction and fixation with Kirschner wires is simple, barely invasive method of treatment for acromioclavicular dislocation and gives good final results.
Zarzycki
W
W
Katedry i Kliniki Ortopedii AM w Gdańsku.
Wiśniewski
P
P
Lorczyński
A
A
D000208:Acute Disease; D000328:Adult; D002968:Clavicle / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries / Q000601:surgery*; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000601:surgery*; D016896:Treatment Outcome