31-185
Luxación acromioclavicular. Resultados del tratamiento con cerclaje alámbrico sobre agujas de Kirschner
Acromioclavicular dislocation treated by a modified phemister's technique
J. SEGURA, A. LACLERIGA, J. ALBAREDA y F. SERAL Servicio de Traumatología y Cirugía Ortopédica. Hospital Clínico Universitario Lozano Blesa. Departamento de Cirugía.Facultad de Medicina. Universidad de Zaragoza.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
A series of 44 out of 57 patients with Allman grade III acromioclavicular dislocation
operated on from 1975 to 1992 by a modified Phemister technique was studied. Mean age was
38 years. Functional Imatani scale, radiological and aesthetic results, and own patients opinion were
considered to evaluate this procedure. Average follow-up was 6 years (range: 2-17 years). Results
were considered excellent in 89%, good in 9% and poor in 2%. Anatomical reduction was achieved
in 75%. In 91% of cases no clavicular protrusion was observed. A total of 75% were satisfied or
very satisfied with their result. Superficial infection and implant failure were found to be the main
complications. This technique can be a good procedure when a surgical treatment is considered.
Shoulder function must be restricted until the implants have been removed.
operated on from 1975 to 1992 by a modified Phemister technique was studied. Mean age was
38 years. Functional Imatani scale, radiological and aesthetic results, and own patients opinion were
considered to evaluate this procedure. Average follow-up was 6 years (range: 2-17 years). Results
were considered excellent in 89%, good in 9% and poor in 2%. Anatomical reduction was achieved
in 75%. In 91% of cases no clavicular protrusion was observed. A total of 75% were satisfied or
very satisfied with their result. Superficial infection and implant failure were found to be the main
complications. This technique can be a good procedure when a surgical treatment is considered.
Shoulder function must be restricted until the implants have been removed.
Palabras clave (ES):
Hombro
Quirúrgico
Clavícula
Operatorio
Luxación
AcromioclavicularTratamiento
Resumen (EN)
A series of 44 out of 57 patients with Allman grade III acromioclavicular dislocation
operated on from 1975 to 1992 by a modified Phemister technique was studied. Mean age was
38 years. Functional Imatani scale, radiological and aesthetic results, and own patients opinion were
considered to evaluate this procedure. Average follow-up was 6 years (range: 2-17 years). Results
were considered excellent in 89%, good in 9% and poor in 2%. Anatomical reduction was achieved
in 75%. In 91% of cases no clavicular protrusion was observed. A total of 75% were satisfied or
very satisfied with their result. Superficial infection and implant failure were found to be the main
complications. This technique can be a good procedure when a surgical treatment is considered.
Shoulder function must be restricted until the implants have been removed.
operated on from 1975 to 1992 by a modified Phemister technique was studied. Mean age was
38 years. Functional Imatani scale, radiological and aesthetic results, and own patients opinion were
considered to evaluate this procedure. Average follow-up was 6 years (range: 2-17 years). Results
were considered excellent in 89%, good in 9% and poor in 2%. Anatomical reduction was achieved
in 75%. In 91% of cases no clavicular protrusion was observed. A total of 75% were satisfied or
very satisfied with their result. Superficial infection and implant failure were found to be the main
complications. This technique can be a good procedure when a surgical treatment is considered.
Shoulder function must be restricted until the implants have been removed.
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