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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2011-01
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Compare of 3 different types of closed reduction and internal fixation for the fresh complete acromioclavicular dislocation

NIE Wei-zhi,TAN Yuan-chao,YANG Mao-qing,et al.Wendeng hospital of Traditional Chinese orthopaedic and traumatology of Shandong Province,Wendeng 264400,Shandong,China  
Objective:To compare the curative effect of 3 different types of closed reduction and internal fixation on fresh complete acromioclavicular dislocation.Methods:136 patients sustained complete acromioclavicular dislocation were divided into 3 groups.31 cases in Group A were treated with acromioclavicular closed reduction and acromioclavicular internal fixation by 2 steel-wire per cutem.45 cases in Group B were treated with acromioclavicular closed reduction and acromioclavicular internal fixation by 2 steel-wire per cutem and suturation of the capsula articularis acromioclavicularis per cutem.60 cases in Group C were treated with acromioclavicular closed reduction and acromioclavicular internal fixation by 2 steel-wire per cutem and suturation of the capsula articularis acromioclavicularis per cutem and fixation with a hollowed screw between the clavicle and the coracoid(three point fixation).The curative effects were evaluated according to Karlsson's standard.Results:There was statistical difference in the curative effects between the 3 groups(χ2=21.623,P=0.002).Curative effects in Group C were superior to those in Group B(u=2.014,P=0.002)and Group B outstriped Group A(u=2.781,P=0.006).Conclusion:The "three point fixation" is a good method for acromioclavicular dislocation and should be popularized with its advantages of reliable fixation and good curative effect.
【Fund】: “十五”国家科技攻关计划课题(2004BA721A01Z68)
【CateGory Index】: R687.3
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