早期運動療法ができる新鮮肩鎖関節脱臼に対する経皮的 pinning 法

概要

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Percutaneous Kirschner wire fixation for early exercises in dislocations of the acromioclavicular joint were carried out. A 3mm Kirschner wire was passed percutaneously under the acromion and into the clavicle after closed reduction in three patients. The arm was elevated after the arm was supported in a sling for 2 weeks. The wires were removed at 8 weeks after the operation. In two patients, subluxation of the acromio-clavicular joint has recurred after pin removal. Only one patient maintained a normal acromio-clavicular joint after surgery.There was no patient with a breakage of Kirschner wire. Osteoarthritis did not observed in any patients. A wire migration was occurred in a 78-year old patient. Percutaneous Kirschner wire fixation passed under the acromion into the clavicle in an acromioclavicular dislocation was easy to perform and useful. But we do not recommend this method for older patients with osteoporosis.
日本肩関節学会の論文
2002-01-01