Sánta S, Varga Z, Antal S
Orv Hetil. 1989 Jul 16;130(29):1537-41.
Evaluating the surgical results obtained with 74 cases of acromioclavicular dislocation the authors review the problems of diagnostics and surgical treatment of the injury. It is pointed out that the restoration of the functional anatomical condition--and simultaneously the reduction of the number of posttraumatic complaints--may be ensured only with operation in cases of severity grade II and III. However the results of the operative techniques applied in a rather wide range at present do not come up to expectation. The disturbances of healing are due in the majority of the cases to the use of implants unsuitable from biomechanical point of view. The application of appropriately solid acromioclavicular plates means significant progress in this field. The time and way of restoration of the injured capsule and ligament system influences decisively the results. Sutures of the ligament applied within 24 hours after the injury heal well. If the ligaments show strong splitting up or the operation is performed delayed plastic reinforcement or completion is justified in each case owing to the partial resorption. From the viewpoint of the surgical technique the use of the softpart flaps formed from the environment appear to be the most favourable.
通过对74例肩锁关节脱位手术结果的评估，作者回顾了该损伤的诊断和手术治疗问题。指出只有在II级和III级严重程度的病例中进行手术，才能确保功能解剖状态的恢复，同时减少创伤后并发症的数量。然而，目前广泛应用的手术技术结果并不理想。在大多数情况下，愈合障碍是由于使用了从生物力学角度来看不合适的植入物。应用适当坚固的肩锁钢板意味着该领域的重大进展。受伤的关节囊和韧带系统的恢复时间和方式对结果有决定性影响。损伤后24小时内进行的韧带缝合愈合良好。如果韧带出现严重撕裂或手术延迟进行，由于部分吸收，在每种情况下进行塑料加固或修复都是合理的。从手术技术的角度来看，使用周围形成的软组织瓣似乎是最有利的。
