Graupe F, Dauer U, Eyssel M
Chirurgische Abteilung, Marien-Hospital Düsseldorf.
Unfallchirurg. 1995 Aug;98(8):422-6.
Various surgical procedures have been recommended for the treatment of complete acromioclavicular joint separations. The results have been similar in case reports by various authors. From 1984 to 1992, 35 patients were operated on for acromioclavicular joint separations (Tossy III) in the Department of Surgery, Marien-Hospital, Düsseldorf, using Balser's hook plate. The postoperative morbidity rate was 14.3%. Follow-up examinations were performed on 30 patients (85.7%) with average follow-up of 4.1 years, using a rating system that include subjective, objective, and roentgenographic criteria. Fifty percent of patients had no complaints, but residual dislocation was found in 36.7% of cases. While 26 patients (86.7%) were satisfied with the results of the operation, 30% demonstrated a fair result according to the scoring system. The complaints and clinical findings showed no correlation with the X-ray results, e.g. calcification or arthrosis, redislocations.
对于完全性肩锁关节分离，已经推荐了多种外科手术方法。不同作者的病例报告结果相似。1984年至1992年期间，杜塞尔多夫玛丽恩医院外科使用巴尔泽钩钢板对35例肩锁关节分离（托西III型）患者进行了手术。术后发病率为14.3%。对30例患者（85.7%）进行了随访检查，平均随访4.1年，采用了包括主观、客观和X线标准的评分系统。50%的患者无不适主诉，但36.7%的病例存在残留脱位。虽然26例患者（86.7%）对手术结果满意，但根据评分系统，30%的患者结果一般。患者的主诉和临床检查结果与X线结果（如钙化、关节炎、再脱位）无相关性。
