Bakalim G, Wilppula E
Acta Chir Scand. 1975;141(1):43-7.
A follow-up investigation on 41 patients with complete dislocation of the acromioclavicular joint was performed. Nineteen patients had been treated surgically, 22 conservatively. The surgery performed had consisted of repair of the coracoclavicular ligament and fixation of the acromioclavicular joint by means of a Kirschner wire. In the conservatively treated patients, a strapping was applied to maintain reduction of the acromioclavicular joint. A good functional end-result is correlated with a good anatomical result. A good anatomical result was more frequent in the surgically treated group. Better functional results were achieved by operation than by conservative treatment. In general, post-traumatic arthrosis of the acromioclavicular joint was slight and was not correlated with the functional results.
对41例肩锁关节完全脱位患者进行了随访调查。19例患者接受了手术治疗，22例接受了保守治疗。所施行的手术包括喙锁韧带修复和用克氏针固定肩锁关节。在保守治疗的患者中，采用了绷带包扎以维持肩锁关节复位。良好的功能最终结果与良好的解剖学结果相关。良好的解剖学结果在手术治疗组中更为常见。手术治疗比保守治疗取得了更好的功能结果。一般来说，肩锁关节创伤后关节炎较轻，且与功能结果无关。
