Hellmich A, Sievers U
Berufsgenossenschaftliche Unfallklinik Ludwigshafen/Rhein.
Aktuelle Traumatol. 1988 Feb;18(1):9-13.
45 patients were followed up who had undergone surgery because of acromioclavicular separation of the types TOSSY II and TOSSY III during 1983 to 1985. In 44 cases a fresh acromioclavicular separation had been treated via transcutaneous Kirschner wire fixation and in one case a chronic acromioclavicular separation had been treated according to the technique described by Bunnell. the anatomy of the acromioclavicular joint, the pattern of injury as well as the method of surgery with subsequent aftercare measures are described. The good functional final results make transcutaneous Kirschner wire fixation the method of choice as a brief and low-stress procedure, as far as our clinic is concerned.
对1983年至1985年间因TOSSY II型和TOSSY III型肩锁关节分离而接受手术的45例患者进行了随访。其中44例新鲜肩锁关节分离采用经皮克氏针固定治疗，1例慢性肩锁关节分离采用Bunnell描述的技术治疗。文中描述了肩锁关节的解剖结构、损伤类型以及手术方法和后续的护理措施。就我们诊所而言，良好的功能最终结果使经皮克氏针固定成为一种简短且低应激的首选方法。
