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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew


IMPACT FACTOR 2017: 0.484
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Open Access
Online
ISSN
2391-5463
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Volume 10, Issue 1

Issues

Volume 10 (2015)

Complete acromioclavicular joint dislocation treated with reconstructed ligament by trapezius muscle fascia and observation of fascial metaplasia

Chaoliang Wang
  • Corresponding author
  • Medical College of Qingdao University, Qingdao, Shandong, 266003, China Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, Tel: 86- 634-6278397
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/ Sufang Huang
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China
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  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Yingzhen Wang / Xuesheng Sun
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China
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  • De Gruyter OnlineGoogle Scholar
/ Tao Zhu
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China
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/ Qiang Li
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China
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  • De Gruyter OnlineGoogle Scholar
/ Chu Lin
  • Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China
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  • De Gruyter OnlineGoogle Scholar
Published Online: 2015-12-17 | DOI: https://doi.org/10.1515/med-2015-0055

Abstract

We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated by reconstruction of the acromioclavicular and coracoclavicular ligament using trapezius muscle fascia. Open reduction and internal fixation was performed using the clavicular hook plate in 12 patients with acute complete acromioclavicular joint dislocation, and the acromioclavicular and coracoclavicular ligaments were reconstructed using trapezius muscle fascia. Radiographic evaluations were conducted postoperatively. We evaluated the functional results with constant scoring system and radiological results at the final follow-up visit. The mean Constant score at the final follow-up visit was 91.67 (range, 81 to 100). The results were excellent in eight patients (66.7%) and good in four patients (33.3%). Three patients with scores from 80 to 90 had mild pain during activity, but this did not affect the range of motion of the shoulder. All patients have returned to their preoperative work without any limitations. Compared with the contralateral side, radiography showed anatomical reposition in the vertical plane in all cases. The hook-plate fixation with ligament reconstruction was successful in treating AC dislocations. The acromioclavicular and coracoclavicular ligament were reconstructed by trapezius muscle fascia that keep the distal clavicle stable both vertically and horizontally after type III injuries.

Keywords: Acromioclavicular joint; dislocation; fixation; ligament

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About the article

Received: 2015-07-11

Accepted: 2015-09-15

Published Online: 2015-12-17

Published in Print: 2015-01-01


Citation Information: Open Medicine, Volume 10, Issue 1, ISSN (Online) 2391-5463, DOI: https://doi.org/10.1515/med-2015-0055.

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© 2015. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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