external clavicle resection

Curing disease: Indication 1. Dislocation of the acromioclavicular joint, failure to be reset for more than 3 weeks, and pain and dysfunction. 2, the outer end of the clavicle is over-exposed, causing shoulder deformity, stagnation ligament calcification. Contraindications This method is not suitable for those with higher shoulder strength requirements. Surgical procedure 1. The incision is made in the shoulder from a slightly curved transverse incision from the shoulder tip. The incision is about 6 cm long. 2. The acromioclavicular joint and the lateral part of the clavicle were exposed to cut the skin, fascia and clavicle periosteum. The deltoid and trapezius muscles were respectively removed in the posterior subperiosteal direction, and the acromioclavicular joint and the lateral part of the clavicle were exposed for 3 to 4 cm. 3. Use a Gigli wire saw or oscillating saw to remove the 3 cm long section of the lateral clavicle, and then remove the fragmented cartilage disc and residual tissue in the acromioclavicular joint; smooth the proximal fracture of the clavicle and wrap it with periosteum and soft tissue . 4. The deltoid and trapezius muscles are attached to the free edge of the clavicle and overlapped. 5. Suture the incision intermittently according to the level. complication Although the shoulder deformity and function can be improved, the strength is weakened.

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