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Abstract
A series of 20 patients was treated for a complete acromioclavicular dislocation (Tossy
III). Reduction of the clavicle is maintained by a Dacron ligament, which provides
dynamic fixation. The mean follow-up period was 3.9 years. For 19 patients the results
were good or excellent; in one case the result was poor.
Advantages of the method described are ease of the procedure, absence of pins and
a 1-week period of immobilization. An important result is the short sick leave with
an average of 3.3 weeks, which is favourable compared with other operative and non-operative
methods.
The recent tendency to treat complete acromioclavicular dislocations non-operatively
is based on the poor results of the Phemister and Bosworth operation; however, cerclage
with a Dacron ligament has a low complication rate and gives a high percentage of
anatomical reduction. It is therefore considered an effective method to treat complete
acromioclavicular dislocations.
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References
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Article info
Publication history
Accepted:
September 7,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
