Schwarz B, Heisel J
Aktuelle Traumatol. 1986 Jun;16(3):97-109.
Osteosynthesis with wires and cerclages is the operative technique of choice in case of recent or old breaking of acromio-clavicular joint. In case of an old lesion of the acromio-clavicular joint syndesmoplasty should be performed only if direct suture of the ligaments is no longer possible. The so-called "allo-ligament" proved to be a failure because of the high rate of infections. The "Kirschner wires" should have a thickness of at least 1.5 mm. To avoid stiffness of the operated shoulder there should be an early active functional treatment. The removal of the osteosynthesis material should be performed only after complete healing of the ligaments (3-4 months postoperatively).
对于肩锁关节近期或陈旧性断裂，钢丝和环扎术是首选的手术技术。对于肩锁关节的陈旧性损伤，仅在韧带无法直接缝合时才应进行韧带成形术。所谓的“同种异体韧带”由于感染率高而被证明是失败的。“克氏针”的直径应至少为1.5毫米。为避免手术侧肩部僵硬，应尽早进行积极的功能治疗。仅在韧带完全愈合后（术后3 - 4个月）才应取出内固定材料。
