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Related Experiment Videos

Comparative study on treating complete dislocation of acromioclavicular joint with three different methods.

Bin Lin1, Ke-jian Lian, Lin-xin Guo

  • 1Department of Orthopaedics, 175th Hospital of PLA, Zhangzhou 363000, China. linbin813@163.net

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
|August 6, 2004
PubMed
Summary

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Dewar's operation offers a safe and effective treatment for acromioclavicular joint dislocations, demonstrating superior outcomes with reduced operating time and costs compared to other fixation methods.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Complete acromioclavicular joint dislocation is a common shoulder injury.
  • Various surgical interventions exist, each with potential benefits and drawbacks.

Purpose of the Study:

  • To compare the efficacy and outcomes of three surgical methods for complete acromioclavicular joint dislocation.
  • Evaluate Dewar's operation, Kirschner tension band wires, and Wolter plates.

Main Methods:

  • A cohort of 96 patients with complete acromioclavicular joint dislocation underwent surgical treatment.
  • Patients were divided into three groups: Dewar's operation (n=32), Kirschner wires (n=44), and Wolter plates (n=20).
  • Outcomes were assessed using Karlsson's standard, with follow-up averaging 50 months.

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Main Results:

  • Dewar's operation and Wolter plates showed significantly better good and fair rates than Kirschner wires.
  • No significant difference in outcomes was observed between Dewar's operation and Wolter plates.
  • Dewar's operation had the shortest operating time and lowest hospitalization fees.

Conclusions:

  • Dewar's operation is a safe, effective, and cost-efficient method for treating complete acromioclavicular joint dislocations.
  • This technique offers advantages such as a shorter operative duration and minimal complications.
  • The simplicity of Dewar's operation avoids the need for secondary implant removal.