Siegling C W, Jahn K
Zentralbl Chir. 1982;107(14):858-62.
62 patients underwent surgery for dislocation of the acromioclavicular joint and were followed up. In acute cases the best results could be achieved by an open reposition in combination with temporarily splinting by a Kirschner-wire and suture of capsula and ligament. A plasty using autologous ligament is necessary in rare cases only. Open reposition, screwing according to Bosworth and a plasty with a strip of autogenous cutis (Bunnell) should be performed in delayed cases.
62例患者接受了肩锁关节脱位手术并进行了随访。在急性病例中,通过开放复位联合克氏针临时固定以及关节囊和韧带缝合可取得最佳效果。仅在极少数情况下需要使用自体韧带进行成形术。对于延迟病例,应进行开放复位、按照博斯沃思方法进行螺钉固定以及使用一条自体皮肤条带(邦内尔法)进行成形术。