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Journal of the Korean Shoulder and Elbow Society 2001;4(1):24-29.
Published online June 30, 2001.
The Treatment of the Acromioclavicular Dislocation using the Modified Neviaser Method
Su Il Han, M.D., Joon Seok Kim, M.D., Young Kuk Lee, M.D.*
Department of Orthopaedic Surgery, Kwak,s Hospital, Taegu, Korea. Department of Orthopaedic Surgery, Seong seo Hospital Taegu, Korea*
변형된 N eviaser 술식을 이용한 견봉쇄골관절 탈구의 치료
한수일, 김준석, 이영국
대구 곽병원 정형외과, 대구 성서병원 정형외과*
Abstract
Purpose
: To describe a technique of the modified Neviaser method and to evaluate the clinical outcome of the technique in the treatment of the complete acromioclavicular joint dislocation. Materials and Method : We evaluated 20 patients who were treated by a modified Neviaser method from June 1996 to January 1999. They were followed up for a minimum of two years. The operative technique includes fixation of the acromioclavicular joint, repair of coracoclavicular ligament and transfer of the anterolateral band of coracoacromial ligament. Results : The 20 patients were evaluated clinically using Kang’s criteria. The satisfactory results obtained in 85%. The mean coracoclavicular interval ratio was decreased from 2.22 preoperatively to 1.07 postoperatively. At the time of two year follow-up, the mean ratio was 1.20. There was no definite complication such as re-dislocation of the joint. Conclusion : In above type 3 acromioclavicular dislocation, the modified Neviaser method provided the advantage of strong and stable fixation with a low complication rate. Therefore, it is thought to be one of the useful operative technique.
Key Words: Acromioclavicular joint, Dislocation, Modified Neviaser method, Shoulder


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