Review of the Surgical Treatment and Prevention Complication for Fresh Acromioclavicalar Joint Dislocation
Objective To investigate the methods for treatment and prevention complication of acromioclavicular joint dislocation.Methods From January 2002 to January 2006,20 patients with Ⅲ type of acromioclavicular joint dislocation were treated with open reduction and internal fixation.Acromioclavicular ligament and coracoclavicular ligament were repaired.15 patients with Ⅰ and Ⅱ type of acromioclavicular joint dislocation were treated with methods of non-operation.Functional exercise of the shoulder were done.Results The follow-up lasted 6 mouths to 12 mouths,according to the criteria of Lazzcano, 27 cases were rated as excellent,6 cases as good,2 cases as poor,The excellent and good rate was 95%.Conclusion ①Anatomical reduction and fixation and repair of the ligaments are reqired for the character of anatomy of acromioclavicular joint.②The limb should be hung for two weeles and allowed to functional exercises.③The methods to prevent the compliations are effective internal fixation and repair of the ligaments.