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[Therapy of acromioclavicular luxation]
Zentralblatt Fur Chirurgie
|January 1, 1982
Summary
For acute acromioclavicular joint dislocations, open reposition with Kirschner-wire splinting offers the best outcomes. Delayed dislocations may require open reposition and specific reconstructive techniques.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Acromioclavicular joint dislocation is a common shoulder injury.
- Treatment strategies vary depending on the acuity and severity of the dislocation.
Purpose of the Study:
- To evaluate surgical outcomes for acromioclavicular joint dislocations.
- To compare treatment approaches for acute versus delayed presentations.
Main Methods:
- Retrospective analysis of 62 patients undergoing surgery for acromioclavicular joint dislocation.
- Surgical techniques included open reposition, Kirschner-wire splinting, ligament repair, and reconstructive plastic surgery (Bosworth screw, Bunnell autograft).
Main Results:
- Acute dislocations: Optimal results achieved with open reposition, Kirschner-wire splinting, and capsular/ligamentous suture.
- Delayed dislocations: Recommended treatment involves open reposition, Bosworth screw fixation, and autogenous tissue plasty.
- Autologous ligament plasty was infrequently required.
Conclusions:
- Surgical management of acromioclavicular joint dislocations should be tailored to the timing of presentation.
- Open reposition with temporary stabilization is effective for acute injuries.
- Specific reconstructive procedures are indicated for chronic or delayed cases.