Journal of Musculoskeletal Trauma

Original Articles

Modified Phemister Operation for Acromioclavicular Dislocation: Jin Yung Park, Gun Nam Kim, Byung Sam Min, Moon Jib Yoo; J Korean Soc Fract 2001;14(3):456-462. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.456

Abstract PDF: PURPOSE
To evaluate the clinical results after modified Phemister operation for complete dislocation of acromioclavicular joint.
MATERIALS AND METHODS
Thirty-seven cases of Fifty-three cases complete dislocation of acromioclavicular joint which were treated modified Phemister operation, follow up for at least one year, were evaluated. After operation, applied Kenny-Howard brace for six weeks and removed the inserted pins at ten to twelve weeks postoperatively. The ROM exercise was started at postoperative six weeks and meticulous ROM exercise was begun at pin removal. The clinical results were evaluated with range of movement, comparision of the coracoclavicular distance after surgery with that of follow up, and complications.
RESULTS
The range of motion were forward elevation 150 degree, external rotation 71 degree, external rotation at 90 degree abduction 77 degree, and internal rotation T8. The comparision of coracoclavicular distance after surgery(0,6mm) with that of follow up(1.0mm) showed no significant ligament laxity. The complication were subluxation in 2 cases, heterotrophic calcification in 3cases, broken K-wire in 2cases, pin site infection in 7cases and distal clavicle osteolysis in 3cases, which were healed at follow up radiographically.
CONCLUSION
To prevent of redislocation of acromioclavicular joint, we tried to insert the pin during relatively long period for sufficient healing of ruptured coracoclavicular ligament. Although immobilization period was relatively long period, clinical results were good.

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The Treatment of Complete Dislocation of Acromio-Clavicular Joint: Joo Chul Ihn, Hee Soo Kyung; J Korean Soc Fract 1995;8(3):471-479. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.471

Abstract PDF: There are many procedures described for the treatment of complete acromio-clavicular dislocationn but there are still controversies concerning the best management of these injuries. Surgical treatment modalities for complete acromio-clavicular dislocation are variable and usually successful. The fiftheen cases were treated at the Department of Orthopedic Surgery, Kyungpook National University Hospital, from January 1990 to July 1993. And they had been followed for average 22 months. The following results were obtained. 1. According to classification by Rockwood and Green. Grade li[ were 7 cases and Grade V 8 cases. 2. Of the 15 cases,2 cases were treated by conservative method, and 13 cases by operative mothods. 3. The clinical results according to Weitzmans criteria were excellent in 9 cases(60%), good in 4 cases(26.7%) and fair in w cases(13.3%). 4. The complications were pin migration, breakage, loosening, calcification of coraco-clavicular joint in 1 case respectively and recurrent dislocation after pin removal in 2 cases. 5. We thought that the operative procedures are indicated in the treatment of type III & V complete dislocation of acromio-clavicular joint.

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