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《THE JOURNAL OF TRADITIONAL CHINESE ORTHOPEDICS AND TRAUMATOLOGY》 1999-11
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THE EVALUATION OF THE TREATMENT RESULTS OF TYPE Ⅲ ACROMIOCLAVICULAR DISLOCATION

Zhou Zhonghua , Lu Songfeng and Cao Haiyun , Luoyang Orthopedic Traumatological Hospital and Institute of Henan Province, Luoyang 471002  
In order to provide a basis for selecting the therapeutic method for type Ⅲ acromioclavicular dislocation, the clinical data of 210 cases admitted and treated by the authors from January 1985 to January 1998 were retrospectively analysed. All the patients were divided into 9 groups (from Group A to Group I), which were treated by 9 different methods, respectively. The therapeutic effect of each case was evaluated by six grades (Ⅰ-Ⅵ) and four indices, such as the appearance, pains, functional range and X rays. The results showed that the percentages of the patients  12 years obtaining the excellent (Ⅰ or Ⅱ grade) rate of all the groups were: 82.4 % of Group A, 41.7 % of Group B, 78.6 % of Group C, 83.3 % of Group D, 63.1 % of Group E, 66.7 % of Group F, 61.1 % of Group G, 21.7 % of Group H, and 64.9 % of Group I, suggesting that the fresh patients  12 years should be treated mainly by the conservative method. In surgical treatment, the coracoclavicular ligament repair and the acromioclavicular arthrodesis have an advantage over the acromioclavicular ligament repair and coracoclavicular arthrodesis, and the distal clavicle removal has the anteroposterior unstability as the sequela.
【CateGory Index】: R684.7
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