Abstract

GONZALEZ JEMIO, Freddy  and  LUJAN MERCADO, Mauricio D.. EVALUACIÓN DEL MANEJO QUIRURGICO EN LA LUXACION ACROMIOCLAVICULAR GRADO III EN EL HOSPITAL OBRERO N° 2 C.N.S.. Gac Med Bol [online]. 2006, vol.29, n.1, pp.28-35. ISSN 1012-2966.

Between January 1998 and April 2004, (in a 6 year 4 month period), in the Orthopedic and Traumatology service at the Obrero Hospital N°2 that belongs to the C.N.S., a longitudinal retrospective study was done, in 21 cases with clinical - radiology diagnose of Acromioclavicular Dislocation III degree   (LAC III),   that went throught surgical treatment. There is a Wide variety of surgical treatments to handle the LAC III, therefore, we saw the need to analyze the results we obtained and to try to design a protocol to manage it in order to benefit our patients. The incidence was 12 (57%) for the right side and 9 (43%) for the left side. In 11 patients the mechanism of the injury was a fall from height and in the other 10 (47%) patients the mechanism of injury was a fall from a two-wheeled vehicle. The results were evaluated using the clinical-radiology modified scale from de UCLA, obtaining for Group A (Good 55%, Average 44%), for Group B (Excellent 60%, Good 40%,), and for Group C (Good 43%, Average 29%, Poor 29%). From the three surgical techniques described the most encouraging results were for Group B because of the advantages we discussed. We must emphasize the need to know the local anatomy in order to avoid complications.

Keywords : Acromioclavicular Dislocation III Degree; Orthopedic; Traumatology.

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