Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
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Surgical Treatment of Acromioclavicular Dislocation -Comparison of modified Weaver-Dunn method and modified Phemister method-

견봉 쇄골 관절 탈구의 수술적 치료 - Weaver-Dunn 변법과 Phemister 변법의 비교 -

  • Bae, Ki-Cheol (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Sohn, Sung-Won (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Cho, Chul-Hyun (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Jung, Su-Won (Department of Orthopedic Surgery, School of Medicine, Keimyung University)
  • 배기철 (계명대학교 의과대학 정형외과학교실) ;
  • 손승원 (계명대학교 의과대학 정형외과학교실) ;
  • 조철현 (계명대학교 의과대학 정형외과학교실) ;
  • 정수원 (계명대학교 의과대학 정형외과학교실)
  • Published : 2006.12.15
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Abstract

Purpose: To compare the clinical and radiological results between the modified Weaver-Dunn method and modified Phemister method in the acute acromioclavicular joint dislocation. Materials and Methods: We reviewed 19 patients who were treated for the acute acromioclavicular joint dislocation from 2001 to 2002. 10 patients were operated with the modified Weaver-Dunn method (group A) and the others with modified Phemister method (group B). The classification of preoperative injury was analyzed by using the Rockwood system, the clinical assessment of preoperative and postoperative by the modified UCLA rating scale and the radiological assessment by simple x-ray. Results: With the modified UCLA rating scale, group A showed 5 cases(50%) of excellent and 5 cases(50%) of good, group B showed 4 cases(44.4%) of excellent and 5 cases(55.6%) of good. In the radiologic findings of the coracoclavicular distances, group A was 16.2 mm at preoperative, 8.8 mm at postoperative, 9.7 mm at last follow-up and group B was 12.9 mm, 6.7 mm and 7.9 mm respectively. Postoperatively there were no complications such as surgical wound infection and failure of Kirschner wires. Conclusion: Both the modified Weaver-Dunn and modified Phemister methods have shown satisfied clinical and radiologic results, and there was no difference in these result between two groups (p>0.05).

Keywords

References

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