H G Steuer | PubMed Health

PubMed1983

[Outcome after late reconstruction of dislocations of the acromioclavicular joint].

In a total of 130 cases with a complete luxation of the acromioclavicular joint (Tossy III) which were treated operatively, there are included 29 cases with older injuries (6 to 28 months after accident). Late reconstruction were regarded only such cases which needed a plastic reconstruction of the lig. coracoclaviculare. An account is given of the 21 cases, followed up on an average of 5,6 years after the operation. The material for the plastic reconstruction was autologous and heterologous tendons, fascia lata, carbon-fibres-ligaments, and especially lyodura. The results are very satisfied regarding to the mobility and stability of the shoulder joints. But there was seen a high rate of arthrosis of the a.c.-joint, which causes are discussed as well as the opportunity to make an osteotomy of the clavicula to degress the pressure at this point. The arthrosis is only painful in cases with a simultaneous instability.

Acromioclavicular Joint↗

PubMed1982

[Arthrodesis and external fixation].

Though operative arthrodesis is less often indicated than before, in the knee and upper-ankle joints it is more successful than artificial joints. In cases of irreparable neuro-paralysis it is often the only alternative for the lower extremities. Today's external fixation and the standardization of its operative technique make good stability possible, thus improving preconditions for consolidation of the resected articular surfaces, above all for the knee and upper-ankle joints. On the basis of 158 arthrodeses performed over a period of 10 years indications, technique and success rate are described.

Ankle Joint↗