Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Minimal incision Wolter Plate Fixation on the Displaced Lateral End Fracture of the Clavicle and the Acromioclayicular Dislocation

견봉쇄골탈구와 원위쇄골골절에서 소절개를 이용한 Wolter금속판 내고정술

  • Ko, Sang-Hun (Department of orthopaedic Surgery, Bundang Jaesaeng Hospital, Daejin Medical Center, Kyungkido, Korea)
  • 고상훈 (대진의료재단 분당제생병원 정형외과)
  • Published : 2002.06.01
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Abstract

Purpose Displaced lateral end fracture of clavicle and acromioclavicular dislocation type Ⅲ∼Ⅵ may be required surgical treatment. Material and Methods : From May 1998 to March 2001, we operated with Welter plate with minimal incision by one surgeon. Immediately, pendulum and passive exercise was initiated after surgery. The shoulder function was evaluated using UCLA score. Average follow up was on 28(12∼45) months. Results : All 11 patients were regained satisfactory function. Average UCLA score was 31.9(29~35) at last follow up. Conclusion . The merit of Welter plate fixation with minimal incision is simple technique, reduced surgical time, smaller scar than large plate, strong fixation, early exercise, reduced implant failure. The disadvantage is expensive, skin irritatatation by long hook. But Welter plate fixation with minimal incision is a good method of internal fixation and excellent clinical result in surgical treatment of type H displaced lateral end fracture of the clavicle and type Ⅲ∼Ⅵ acromioclavicular dislocation.

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References

  1. 김영민, 정문상, 성상철 : 골절학, 제4장견갑부골절 및 탈구, 213-214, 2001.
  2. Allman FL Jr : Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg, 49A:774-784, 1967.
  3. Chen CH, Chen WJ and Shih CH : Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption. J Trauma, 52(1) :72-8, 2002. https://doi.org/10.1097/00005373-200201000-00013
  4. Ellman H, Hanker G and Bayer M : Repair of the Rotator Cuff, End-Result Study of Factors Influencing Reconstruction, J Bone Joint Surg, 67A:1136-1144, 1986.
  5. Ernst S, Nikolaus S, Karl H and Andrea B : Repair of Complete Acromioclavicular Separations Using the Acromioclavicular-Hook Plate. Clin Orthop, 314: 134-142, 1995.
  6. Faraj AA and Ketzer B : The use of a hookplate in the management of acromioclavicular injuries. Report of ten cases. Acta Orthop Belg, 67(5):448-51, 2001.
  7. Galphin RD, Hawkins RJ and Grainger RW : A comparative analysis of operative versus nonoperative treatment of grade III acromioclavilular separations. Clin Orthop, 193:150, 1985.
  8. Gordon WN and Mark KB : Acromioclavicular Joint Injuries and Distal Clavicular Fractures. J Am Acad Orthop Surg., 5:11-18, 1997. https://doi.org/10.5435/00124635-199701000-00002
  9. Habernek H, Weinstabl R, Schmed L and Fialka C : A hook plate for treatment of acromioclavicular joint separation : indication, technique, and result after one year. The J Trauma 35(6) :893-901, 1993. https://doi.org/10.1097/00005373-199312000-00016
  10. Henkel T, Oetiker R and Hackenbruch W : Treatment of fresh Tossy III acromioclavcular joint dislocation by ligament suture and temporary fixation with the clavicular hooked plate., Swiss Surg 3(4):160-6, 1997.
  11. Jakobsen, BW : Acromioclavicular Dislocation. Conservative or Surgical treatment. Ugeskr. Laeger, 151:235-8, 1989.
  12. Kao FC, Chao EK, Chen CH, Yu SW, Chen CY and Yen CY : Treatment of distal clavicle fracture using Kirschner wires and tension-band wires. J Trauma, 51(3):522-5, 2001. https://doi.org/10.1097/00005373-200109000-00016
  13. Kappakas GS and McMaster JH : Repair of acromioclavicular separation using a Dacron prosthesis graft. Clin Orthop 131-247, 1987.
  14. Keller HW and Rehm KE : Treatment of acromioclavicular dislocation without metallic implants. Ufallchirurg 94:511, 1991.
  15. Kiefer H, Claes L, Burre C and Holzworth J : The Stabilizing Effect of Various Implants on the Torn Acromioclavicular Joint : A Boimechanical Study. Arch. Orthop. Trauma Surg., 106: 42-46, 1986. https://doi.org/10.1007/BF00435651
  16. Neer CS II : Fracture of the distal third of the clavicle. Clin Orthop, 58:43-50, 1968.
  17. Poigenfurst J : Techinque of Bosworth's screw in ruptures of the AC joint. Oper Orthop Trauma 2:233, 1995.
  18. Rockwood CA, Williams GR and Young DC : Injuries to the Acromioclavicular Joint. In Rockwood and Green's Fractures in Adults., 4th edition, Lippincott Raven, Vol(2):1371, 1996.
  19. Rockwood CA Jr and Young DC : Dosorders of the acromioclavicular joint, in Rockwood CA, Matsen FA III(eds) : The Shoulder. Philadelphia : WB Saunders, vol 1, 413-476, 1990.
  20. Tossy JD, Mead NC and Sigmond HM : Acromioclavicular separations : Useful and practical classification for treatment. Clin Orthop 28:111-119, 1963.
  21. Weinstein DM, McCann PD and McLlveen SJ, et al : Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med 23: 324-331, 1995. https://doi.org/10.1177/036354659502300313

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