Surgical Treatment of Complete Acromioclavicular Joint Dislocation

完全性肩鎖關節脫位之手術治療

蘇榮源(Jung-Yuan Su) ； 黃俊雄(Chun-Hsiung Huang) ； 賴建宏(Jiann-Horng Lai) ； 王榮彬(Jung-Ping Wang) ； 郭兆光(Tiew-Guan Kwok) ； 黃德揚(Der-Yong Huang)

《Journal of Orthopaedic Surgery Taiwan》 10卷2期 (1993/06) Pp. 181-187

摘要

在95位完全性肩鎖關節脫位(All man第三度)的病人中，有78位接受手術治療，其中73位接受Phemister手術療法，三位以Bosworth療法，二位以Mumford手術療法，平均的追蹤時間為四年二個月，主要的發生原因為車禍。
依照Imatani評估方法，整個滿意程度為百分之84.7，其中有41位患者屬於優，25位患者屬於良。
雖然合併症有15.4%，但大部份為輕微的，五位病人固定鋼絲外移，三位鋼絲斷裂，一位螺絲鬆動，有六位數後發生外傷性關節炎，兩位發生半脫位。
我們對完全性肩鎖關節脫位的治療是採取外科手術固定，尤其是年情人活動強，嚴重性脫位及工作需求高的病患。

並列摘要

Seventy-eight of 95 consecutive patients who had been treated for complete acromioclavicular dislocation (Allman Type III) with either modified Phemister method (73 cases), Bosworth method (3), or Mumford procedure (2) were followed for an average of 4.2 years. The major cause of this injury was car accident.
Using the Imatani evaluation system, the overall results were excellent and good in 41 and 25 patients respectively. The satisfactory result was 84.7%
Although complicatoins were not uncommon (15.4%), but most were minors; lateral migration (5 cases), broken wires (3), and one screw loosening. Post-traumatic osteoarthritis were noted in 6 patients and subluxation in two.
Our treatment for complete acromioclavicular dislocation (Allman Type III) is surgical intervention, especially in young and active patients, severely displaced patients, and overhead workers.

並列關鍵字

Acromioclavicular dislocation