Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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견봉 쇄골 관절 탈구에 대한 견봉 쇄골 관절의 관혈적 정복술

Open Reduction of Acromioclavicular Joint for the Acromioclavicular Joint Dislocations

  • 송현석 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 최남용 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 한석구 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 나기호 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 남원식 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 양혁재 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 박성진 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실)
  • Song, Hyun-Seok (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Choi, Nam-Yong (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Han, Suk-Ku (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Nah, Ki-Ho (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Nam, Won-Sik (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Yang, Hyuk-Jae (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Park, Sung-Jin (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea)
  • 발행 : 2006.12.15
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초록

Purpose: To analyze the result of the accurate open reduction of acromioclavicular (AC) joint and pin fixation, coracoclavicular (CC) screw fixation without CC ligament repair for AC joint injuries. Materials and Methods: Between January 2000 and December 2003, seventeen cases with at least one year follow-up among twenty-one cases underwent operation for AC-CC ligament injuries. A transverse incision approximately 5 cm in length was made over the clavicle, and the AC joint was reduced accurately. Under the image intensifier, a cannulated screw and washer were inserted for the CC ligament. Two Steinman pins were inserted for the AC joint and the AC ligament was repaired with nonabsorbable suture. Gentle passive range of motion was begun postoperative 2 weeks. The pins were removed at $6{\sim}8$ weeks and the screw was removed at $10{\sim}12$ weeks. The results were evaluated by a distance between AC and CC joints on plain films and ASES score at last follow-up. Results: At the last follow-up, there was no limitation of motion and average ASES score was 96($86{\sim}100$ points). There was no failure showing over 5 mm difference of distance compared to opposite side on the plain films. Seven cases had the skin damages and local infection due to pin migration and three cases showed the loosening of CC screw. Conclusion: We could have satisfactory results by accurate reduction of AC joint and simple pins and screw fixation for AC-CC ligament injuries.

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참고문헌

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