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Acromial fracture are rare and can usually be treated by conservative methods. We report two cases with acromial fracture which required operative treatment because of delayed (or non) union and persistent pain at motion.The case 1 had acromial fracture by motor car accident who was treated conseratively with immobilization for the first four weeks. Then, an active and passive exercise therapy had been begun, but pain at motion and the contracture of the shoulder persisted. Therefore, the osteosynthesis was carried out twelfth weeks after the injury by the method of Zuggurtung. For four weeks after surgery, the shoulder was kept in immobilization in the zero position which was followed by active and passive exercise.The case 2 was treated by immobilization for six weeks after acromial fracture caused by motor car accident. However, because of non-union and pain at motion, osteosynthesis was carried out by the Zuggurtung method with bone graft. After immobilization for eight weeks, exercise had been begun.An excellent bone union was accomplished in both cases. The patients have been pain-free and the shoulder function has recovered almost normal after six months following surgery.
西日本整形・災害外科学会の論文