| Shuu-Jye Wang |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=0.983 ------>paper_class3=2 ------>paper_class2=1 ------>vol=65 ------>confirm_bywho=shtsai ------>insert_bywho=raysswu ------>Jurnal_Rank=77.8 ------>authors4_c= ------>comm_author=1 ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=429 ------>medlineContent= ------>unit=J0600 ------>insert_date=20081126 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=464 ------>journal_name=J Trauma ------>paper_name=Transacromial extra-articular Knowles pin fixation of acute type-V Acromioclavicular joint injuries ------>confirm_date=20081128 ------>tch_id=096074 ------>pmid=18636022 ------>page1=424 ------>fullAbstract=BACKGROUND: Type V acromioclavicular (AC) joint dislocations need surgical treatment. This report described a new transacromial extra-articular Knowles pin fixation method to treat this very unstable dislocations to analyze this treatment. The hypothesis is that the results would be improved. METHOD: Thirteen consecutive patients with type V AC joint dislocations within 9 days of injuries were treated by open reduction transacromial extra-articular Knowles fixation, AC ligament repair, coracoclavicular (CC) ligament repair, CC augmentation sutures. All of them received postoperative arm sling supports for 3 weeks. The radiographic and clinical follow-up was at least 23 months. A modified Constant-Murley score was used for evaluation of bilateral shoulder functions. RESULTS: All AC ligaments were torn at the clavicle sides. All CC ligament were torn at the mid-substances. The anterior deltoid insertions and the superior-posterior trapezius insertions to the clavicles were torn. Radio-lucent zones around the pins 1 mm to 3 mm were noted in all patients before pin removal. Lateral pin migration 1 mm to 2 mm were noted in nine patients before pin removal. Nine patients had increase of CC distances 1 mm to 4 mm at follow-up. Six patients had CC space calcifications. The mean modified Constant-Murley score of the injured shoulders was 94.5 +/- 2.7, the mean score of the uninjured shoulders was 93.9 +/- 1.3, which was not statistically different. CONCLUSIONS: The transacromial extra-artocular Knowles pin fixation method is a reliable method to treat acute type V AC joint dislocations. ------>tmu_sno=None ------>sno=19891 ------>authors2=shing-Sheng Wu ------>authors3= ------>authors4= ------>authors5= ------>authors6= ------>authors6_c= ------>authors=Shuu-Jye Wang ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Transacromial extra-articular Knowles pin fixation treatment of acute type V acromioclavicular joint injuries. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=2 ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2008 ------>submit_flag=None ------>publish_month=8 |