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Journal of the Korean Shoulder and Elbow Society 1999;2(2):133-137.
Published online December 30, 1999.
Coracoclavicular Screw Fixation for AC Dislocation and Unstable Distal Clavicle Fracture
Jin Sub Kim, Jin Ho Jun, Yung Khee Chung
Department of Orthopaedic Surgery, School of Medicine, Hallym University
견봉 쇄골 탈구와 쇄골 외측단 골절에서 일시적 오구 쇄골간 나사못 고정술
김진섭, 전진호, 정영기
한림대학교 의과대학 강남성심병원 정형외과학교실
Abstract
Purpose
There are so many different methods with the their own advantages and disadvantages for acute AC dislocation and distal unstable clavicle fracture. We evaluated the usefulness of temporary Bosworth's coracoclavicular fixations using the cannulated screw and reviewed our clinical results. Materials and Methods: We evaluated 34 cases of temporary coracoclavicular fixations with cannulated screw and washer for acute AC dislocation(25cases in the Type V, Ⅲ) and distal unstable clavicle fracture(9cases in the Type ⅡB, Ⅱ+Ⅲ). All cases were fixed by the same techniques, guided cannulated screw under C-arm after the repair of the CC ligament within 1 week. Bases on the regular check, screws were removed at the 6-12 weeks under local anesthesia. The final clinical and radiological results(average 14 months follow-up) were rated with the UCLA scale. Results : All shoulders were gained nearly full ROM passively at the 3-4 weeks. The overall satisfactory resuIts(excellent or good) were achieved 88%(22/25) in the acute AC dislocation and all in the distal unstable clavicle fracture. There were no definite complications except three initial fixations loosening. Conclusion: Temporary Bosworth's coracoclavicular fixation using the cannulated screw with guided pin was simple precedure and provided enough initial stability for acute AC dislocation and distal unstable clavicle fracture.
Key Words: Coracoclavicular screw fixation; Distal clavicular fracture; Acromioclavicualr joint dislocation


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