[Design and clinical application of the drilling guide in the treatment of XXXX with closed reduction and Kirschner fixation].

@entity1 @entity174 @entity548 @entity190 @entity2720 @entity531
OBJECTIVE: To investigate a drilling guide in the treatment of @entity2720 with closed reduction and Kirschner fixation and explore the therapeutic effect. METHODS: From June 2008 to December 2009, 36 @entity1 with @entity2720 (Tossy III) were treated with closed reduction and Kirschner fixation using a self-designed drilling guide as well as percutaneous repair of acromioclavicular joint. Among the @entity1 , 24 @entity1 were male and 12 @entity1 were female,ranging in age from 20 to 61 years, averaged 38.6 years. The duration from injury to operation ranged from 3.5 to 72 h,with a mean of 15.2 h. No @entity174 was found in all cases. The operative time, @entity548 and therapeutic effects were observed. RESULTS: There were no complications including @entity531 . The mean operating time were 20 min,mean @entity190 were about 10 ml. According to the observation of postoperative X-ray examination, all Kirschners in acromioclavicular joint were in place. All Kirschners were removed in 6 postoperative weeks. All the @entity1 were followed up ranging from 2 to 26 months (averaged 14.3 months). According to the Karlsson standard,22 @entity1 got an excellent result, 13 good and 1 poor. CONCLUSION: This method has following advantages: easy operation and fixation; minimum injuries to articular surface; and which would be widely used in clinical practice.
