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KMID : 0386419920050010022
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Journal of the Korean Fracture Society
1992 Volume.5 No. 1 p.22 ~ p.27
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The Treatment of Acromioclavicular Ligament Injury Using Coracoacromial Ligament Transfer with Acromial Bone Block -Report of Four cases
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조덕연
서재곤/김응하/고은성
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Abstract
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Acormioclavicular joint injuries are recently increased, but the best treatments are still in controversy. Although the acroioclavicular ligament plays a important role in the horizontal stability of the acromioclavicular joint, but the more
important
structure for vertical stability is the coracoclavicular ligament. Hence, many surgical procedures for the treatment of grade three acrimioclavicular joint injuries employ a variety of methods for the restoration of coracoclavicular ligament
function.
This type of coracoclavicular ligament reconstruction technique gives stronger fixation force chan simple coracoclavicular ligament repair technique. The asserting point is that bone to bone fixation(coracoacromial ligament bone block transfer)
heals
early and gives stronger fixtion than bone to ligament fixation. So. the rigid fixation force enables the patients tostart early motion and prevent functional limitation.
We present a modified sugical procedure, one of the coracoacromial ligament with bone block transfer method for coracoclavicular ligament reconstruction. We report the results of four cases of grade three acromioclavicular joint injuries treated
by
the
authors technique (modified fexation method of coracoacromial ligament bone block to the clavicle)
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KEYWORD
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