Department of Orthopedic Surgery and Traumatology, OLVG, Amsterdam, Noord-Holland, The Netherlands
Department of Orthopedic Surgery, Rijnstate, Arnhem, Gelderland, The Netherlands.
J ISAKOS. 2021 Mar;6(2):116-119. doi: 10.1136/jisakos-2019-000299. Epub 2020 Sep 24.
This classic discusses the original publication "Treatment of acromioclavicular injuries, especially complete acromioclavicular separation" by Weaver and Dunn, which collaborated to develop a technique for acromioclavicular joint reconstruction in 1972. Their surgical technique described resection of 2 cm of the distal clavicle and transfer of the acromial end of the coracoacromial ligament into the medullary canal of the distal clavicle. (modified) Weaver-Dunn procedures have been regarded as one of the most effective techniques to treat complete acromioclavicular joint dislocation for a long time. However, anatomic reconstructions have taken over this position since recent biomechanical studies have demonstrated superior results. Although the Weaver-Dunn procedure has fallen out of favour, it remains of historical significance. For this reason, this review will comprise the historical overview of the Weaver-Dunn procedure, the men behind the eponym and the clinical implication then and now.
这篇经典文章讨论了 Weaver 和 Dunn 最初发表的“肩锁关节损伤的治疗，特别是完全性肩锁关节分离”一文，他们于 1972 年合作开发了一种肩锁关节重建技术。他们的手术技术描述了切除锁骨远端 2 厘米，并将肩峰端的喙锁韧带转移到锁骨远端的髓腔内。（改编）Weaver-Dunn 手术长期以来一直被认为是治疗完全性肩锁关节脱位最有效的技术之一。然而，自从最近的生物力学研究显示出更好的结果以来，解剖重建已经取代了这一位置。尽管 Weaver-Dunn 手术已经不再流行，但它仍然具有历史意义。因此，这篇综述将包括 Weaver-Dunn 手术的历史概述、这个名字背后的人以及当时和现在的临床意义。
