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KMID : 0361620060410020303
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Journal of the Korean Orthopaedic Association
2006 Volume.41 No. 2 p.303 ~ p.309
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Using Suture Anchors in the Treatment of an Acromioclaviclar Dislocation
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이동주/Lee TJ
박승림/김명구/문경호/최성욱/김경훈/배주한/Park SR/Kim MK/Moon KH/Choi SW/Kim KH/Bae JH
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Abstract
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Purpose: We introduce a surgical technique using suture anchors in the treatment of acromioclaviclar dislocation.
Materials & Methods: Eighteen patients, who underwent surgery (using a suture anchor) for an acute acromioclavicular joint dislocation, were followed up minimum of six months. The clinical results on Imatami clinical scoring and serial radiology findings were analyzed.
Results: Most of the cases showed satisfactory results. The clinical evaluation showed that seven cases (39%) were excellent and ten cases (56%) were good. Serial radiographic finding (preoperative, postoperative, postoperative 6 months) was evaluated. The mean preoperative, postoperative and postoperative 6 months coracoclavicular interval ratios were 2.41, 0.9 and 1.21, respectively. The early complications encountered were one case of a superficial infection at the insertion site of the smooth pin and one case of smooth pin migration.
Conclusion: The use of suture anchors in the treatment of an acromioclaviclar dislocation is a superior method cosmetically due to the need for only a small operative incision, minimal destruction of acromioclaricular joint, secure fixation to early physical exercise and require additional surgery to remove the internal fixative.
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