The Treatment Of Acromioclavicular Dislocation With Clavicular Hook Plate

With the development of the modern communicant, the roadaccident often happens, the rate of the acromioclaviculardislocation is also stepping up. we can take deferent treatmentways base on the degree of dislocation and medcial classification,for the dislocation of I, II degree,we often take conservationmethod, such as stopping, cold compress, odynolysis and suitablemoving,commonly, everyone can get satisfactory effect.but for theIII degree dislocation, coracoclavicular ligaments andacromioclavicular ligaments are all disrupt, the conservationmethod is not satisfactory, so we often take the operation forit.there are a lot of ways of traditional operation, and every wayhas its advantages and disadvantages, with the development ofvitodynamics and the kainogenesis of internal fixation in recentyears,The treatment of acromioclavicular dislocation withclavicular hook plate has been received by more doctors.【objective】Approaching the ways, curative effect, caution events forhealing III degree acromioclavicular dislocation in clavicular hookplate.【method】Our hospital has healed the 25 patients of III degreeacromioclavicular dislocation, male 17,female 8,age from 22 to58,average 45.2, road accident 20,getting wounded 3,height objectcrash 2, only acromioclavicular dislocation 16,affiliatingcromioclavicular fracture 7, and other 2, it is 1 to 5 days beforeoperation.these cases have all wounded, and the pain andengorgement of shoulder is obviously. the wounded shouler cannot superduct, the acromioclavicular evection,tenderness, lookslike ladder.base on investigation and X-ray,we can diagnose themIII degree acromioclavicular dislocation,obviously fi for theindication of the operation.everyone is done with clavicular hookplate. the cut from middle of clavicular to the posterior ofacromion, exposing the clavicular one-third of outside, coracoid,acromion and acromioclavicular joint sufficiently. abductionshouler joint, making the acromioclavicular joint position,takesuitable nickelclad and prebanding sufficiently,take the hook ofthe nickelclad into acromion before the acromioclavicular joint,then the lever effect of nickelclad make acromioclavicular jointdislocation recover, and suture capsula articularisacromioclavicularis, repair coracoclavicular ligaments andacromioclavicular ligaments .【result】The patient of the cases can do shoulder functional exercisein 3 days after operation, abduction or anteflexion 90°,theshoulder may be allowed free-running after 6 to 8weeks.following up 6 to 14 months, average 10.2months,basingon the Karlesson's curative effect evaluation criterion of theacromioclavicular joint dislocation ,the patients of 87 percent areA degree,the shape of shoulder is normal, painless,normalmyodynamia, the shoulder is freely, the patient can continue thework before, the acromioclavicular joint dislocation is anatomyreposition or half dislocation little than 5mm without joint amixisand traumatic;13 percent are B, the shape of shoulder is normal,somebody can feel painless or uncomfortable, function is littlelimit, myodynamia is middle ,the range of motion of the shoulderis 90°～180°, the acromioclavicular joint is anatomy repositionor half dislocation 5mm～10mm in X-ray without traumaticarthritis;C degree is none. except the shoulder of two patients arelittle limit, others have satisfactory range of motion ,all thepatients have no abnormity and painlessness in moving【conclusion】For The treatment of The acromioclavicular joint dislocationof Tossy III ,clavicular hook plate has the forte of fixationfirmly,little time ,and the patients can do shoulder exerciseearly ,so it is a good way to heal acromioclavicular jointdislocation...