[Treatment of XXXX with transfer of the medial half of the coracoacromial ligament to reconstruct the coracoclavicular ligament].

@entity1 @entity4 @entity281 @entity158 @entity2720 @entity130
OBJECTIVE: To explore the operation methods and clinical effects of transfer of the medial half of the coracoacromial ligament to reconstruct the coracoclavicular ligament in treating @entity2720 . METHODS: From January 2006 to June 2012,26 @entity1 with acute @entity2720 underwent surgery. Transfer of the medial half of the coracoacromial ligament to reconstruct the coracoclavicular ligament, additional clavical hoot plate and Kirschner wires fixation, were performed in all the @entity1 . Among the @entity1 , 18 @entity1 were male and 8 @entity1 were female, with an average age of 36.7 years old (ranged from 25 to 51 years). The duration from @entity130 was from 3 to 12 days with an average of 5 days. According to the Rockwood classification, 4 cases were grade III and 22 cases were grade V . Clinical manifestation included @entity4 , tenderness with snapping, limitation of shoulder joint motion. In preoperative bilateral shoulder joint X-rays, the injured coracoclavicular distance was (16.2    5.0) mm which was significantly wider than that of uninjured sides (7.6    1.0) mm. Clinical results were evaluated according to X-rays and Constant-Murley score. RESULTS: All incisions obtained primary healing after operation without complication of @entity281 , internal fixation breakage, redislocation. All the @entity1 were followed up from 12 to 30 months with an average of 18 months. Kirschner wires and internal fixation plate were removed at 1 month and 8-10 months after operation, respectively. At final follow-up, the motion of shoulder joint recovered to normal and a no @entity158 joint was obtained. According to Constant-Murley score, 24 cases got excellent results and 2 cases good. There was no significant difference after operation between the injured coracoclavicular distance and the uninjured contralateral side [(7.7    1.2) mm vs (7.6    1.0) mm), P > 0.05]. CONCLUSION: Transfer of the medial half of the coracoacromial ligament to reconstruct the coracoclavicular ligament, additional fixation using hook plate and Kirschner wires is the effective surgical method in treating complete acute @entity2720 .
