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KMID : 0378019800230070063
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New Medical Journal
1980 Volume.23 No. 7 p.63 ~ p.72
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Clinical Study of the Complete Acromioclavicular Dislocation
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Abstract
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There are many procedures for treatment of the complete acromioclavioular dislocation. The controversy over the conservative versus operative treatment of the complete dislocation of the acromioclavicular joint seems to have cyclic turns. Today many surgeons agree that complete dislocation should be treated with an operation.
Twenty-five patients out of thirty two partients with complete acromioclavicular dislocation treated operatively between 1974 and 1979 at the orthopedic department of the Korea University Hospital were reviewed with a follow-up time of from 6 months to 20 months; the average beingl2.1 months. The clinical results assessing pain, motion and deformity were evaluated as excellent, good, acceptable or poor.
The results were as follows:
1. Of the 25 patients, the operative treatment in 12 cases was the modified Phemister method, in 9 cases the Dewar-Barrington method, in 2 cases the modified Henry method and in 2 cases a resection rf the lateral end nf the clavicle was done.
2 The modified Phemister method and the Dewer-Barrington method were used when there was lessthan 2 weeks after the injury; the Dewar-Barrington method, the modified Henry method and a resection of the lateral end of the clavicle between 2 and 4 weeks; the Dewar-Barrington method and a resection of the lateral end of the clavicle at more than 4 weeks.
3. The clinical results were excellent in 12 cases, good in 6 cases, acceptable in 4 cases and poor in 3 cases.
4. The patients who were under the age of 30 or who were treated less than 2 weeks after the injury appeared to have better results.
5. The coracoclavicular distance on the stress X-ray of the acromioclavicular joint did not correlate with the clinical results.
6. Of the four operative methods, the clinical results appeared to be best in the Dewan-Barrington method, followed in descending order by the modified Phemister method, the modified Henry method and a resection of the lateral end of the clavicle.
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