Godry Holger, Citak Mustafa, Königshausen Matthias, Schildhauer Thomas A, Seybold Dominik
Department of Rheumatology and Arthroscopy, Marienkrankenhaus Kaiserswerth , Düsseldorf, Germany.
Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Ruhr-University Bochum , Germany.
Orthop Rev (Pavia). 2016 Jun 27;8(2):6371. doi: 10.4081/or.2016.6371.
In case of patients with spinal cord injury and concomitant acromioclavicular (AC) joint-dislocation the treatment is challenging, as in this special patient group the function of the shoulder joint is critical because patients depend on the upper limb for mobilization and wheelchair-locomotion. Therefore the goal of this study was to examine, if the treatment of chronic AC-joint dislocation using the Weaver-Dunn procedure augmented with a hook-plate in patients with a spinal cord injury makes early postoperative wheelchair mobilization and the wheelchair transfer with full weight-bearing possible. In this case the Weaver-Dunn procedure with an additive hook-plate was performed in a 34-year-old male patient with a complete paraplegia and a posttraumatic chronic AC-joint dislocation. The patient was allowed to perform his wheelchair transfers with full weight bearing on the first post-operative day. The removal of the hook-plate was performed four months after implantation. At the time of follow-up the patient could use his operated shoulder with full range of motion without restrictions in his activities of daily living or his wheel-chair transfers.
对于脊髓损伤并伴有肩锁关节脱位的患者，治疗颇具挑战性，因为在这个特殊患者群体中，肩关节功能至关重要，因为患者依靠上肢进行活动和轮椅移动。因此，本研究的目的是探讨，对于脊髓损伤患者，采用Weaver-Dunn手术并附加钩钢板治疗慢性肩锁关节脱位是否能使术后早期轮椅活动以及完全负重的轮椅转移成为可能。在此病例中，一名34岁的男性完全性截瘫患者，伴有创伤后慢性肩锁关节脱位，接受了附加钩钢板的Weaver-Dunn手术。术后第一天患者即被允许完全负重进行轮椅转移。钩钢板在植入四个月后取出。随访时，患者手术侧肩部活动范围正常，日常生活活动或轮椅转移均不受限。
