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《Journal of Harbin Medical University》 2012-01
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Comparative study of the effects of acromioclavicular joint fixation with K-wires plus refixation and clavicle claw steel plate fixation in the acromioclavicular joint dislocation

ZHENG Yu-chen,JIANG Hong-feng,WANG Jing-bo,LI Bao-he,ZHANG Ke-gang,YAO Hui,ZHANG Wen-hai(Department of Traumatology,Tianjin Hospital,Tianjin 300211,China)  
Objective To compare the outcome of two performed surgical treatments for acute Rockwood grade Ⅲ acromioclavicular joint separations.Methods The retrospective study of 66 patients underwent either temporary acromioclavicular joint fixation with K-wires plus refixation with an inert sling(n=31) or clavicle claw steel plate fixation treatment(n=35) of Rockwood grade Ⅲ AC joint injuries.The outcome with a mean follow up of 14.3 months was measured using ConstantMurley score,pain score,length of incision,amount of operation bleeding and time of operation.Results K-wire therapy and clavicle claw steel plate have the similar percentage of good functional outcome patients in ConstantMurley score(P0.05).K-wire therapy resulted in significantly better results expressed by ConstantMurley score,pain score before taking out internal fixation,length of incision,amount of operation bleeding and time of operation(P0.05).Conclusion Outcome parameters indicate a significant advantage for K-wires plus refixation with an inert sling.
【CateGory Index】: R687.3
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