Yeak Raymond Dk, Daud Hafiz, Nizlan Nasir M
Department of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.
Department of Orthopaedic Surgery, Hospital Serdang, Jalan Puchong, 43000 Kajang, Selangor, Malaysia.
Chin J Traumatol. 2019 Jun;22(3):182-185. doi: 10.1016/j.cjtee.2019.03.004. Epub 2019 Apr 20.
Acromioclavicular joint (ACJ) injury is a common shoulder injury. There are various techniques of ACJ reconstruction. Superficial infection after ACJ reconstruction is not an uncommon complication. However, osteomyelitis post ACJ reconstruction has never been highlighted as a possible complication. Our patient is a 31-year-old male who sustained a Rockwood 5 ACJ dislocation and had anatomical ACJ reconstruction with autogenous gracilis and semitendinosus graft. Our technique involved the anatomical reconstruction of the ACJ and the coracoclavicular ligament with the usage of two bioscrews and the temporary stabilisation of the ACJ with two k-wires. As in any orthopaedic surgery, infection is often disastrous especially when the surgery involves implants. It can be disastrous with high morbidity to the patient as well as a costly complication to treat. Therefore, we wish to highlight this case as despite its rarity, osteomyelitis can be devastating to the patient and should be prevented if possible.
肩锁关节（ACJ）损伤是一种常见的肩部损伤。肩锁关节重建有多种技术。肩锁关节重建术后浅表感染并非罕见的并发症。然而，肩锁关节重建术后骨髓炎从未被视为一种可能的并发症而受到关注。我们的患者是一名31岁男性，发生Rockwood 5型肩锁关节脱位，采用自体股薄肌和半腱肌移植进行了肩锁关节解剖重建。我们的技术包括使用两枚生物螺钉对肩锁关节和喙锁韧带进行解剖重建，并用两根克氏针临时稳定肩锁关节。与任何骨科手术一样，感染往往是灾难性的，尤其是当手术涉及植入物时。这对患者来说可能是灾难性的，发病率很高，治疗费用也很高。因此，我们希望强调这个病例，尽管罕见，但骨髓炎对患者可能是毁灭性的，应尽可能预防。
