Acromioclavicular joint open reduction and Kirschner wire fixation and coracoclavicular ligament suture

Acromioclavicular joint open reduction and Kirschner wire internal fixation and sacral ligament suture are applicable to: 1. The acromioclavicular ligament and the sacral ligament are broken at the same time, causing complete dislocation of the acromioclavicular joint. The closed position cannot be obtained by closed reduction, or the external fixation can not be used to maintain the true alignment. 2. The fracture of the external clavicle near the acromioclavicular joint in children often involves rupture of the sacral ligament, and the displacement of the fracture end is obvious. Treatment of diseases: acromioclavicular joint dislocation Indication Acromioclavicular joint open reduction and Kirschner wire internal fixation and sacral ligament suture are applicable to: 1. The acromioclavicular ligament and the sacral ligament are broken at the same time, causing complete dislocation of the acromioclavicular joint. The closed position cannot be obtained by closed reduction, or the external fixation can not be used to maintain the true alignment. 2. The fracture of the external clavicle near the acromioclavicular joint in children often involves rupture of the sacral ligament, and the displacement of the fracture end is obvious. Surgical procedure Incision The arcuate incision of the shoulder starts from the outer end of the shoulder peak along the lateral end of the acromioclavicular joint clavicle, and extends downward between the deltoid muscle and the pectoralis major muscle, taking care not to damage the cephalic vein. The subarachnoid was removed from the deltoid and the trapezius muscles in the forward and backward directions, respectively, to reveal the acromioclavicular joint and the sacral ligament. 2. Reset and fixed Clear the damaged cartilage disc in the acromioclavicular joint and other structures that impede the reduction. The broken sacral ligament was sutured, and the suture was tightened until the acromioclavicular joint was fixed and fixed. Two Kirschner wires are inserted into the outer end of the shoulder, and the two needle points are separated by about 2cm. The needle tip is aligned with the acromioclavicular joint and meets here. The acromioclavicular joint is removed and the two needles pass through the acromioclavicular joint into the locking bone marrow. The cavity is 2 to 3 cm, and the internal fixation is performed. The needle tail is cut off by the skin; the outer part of the bone is bent into a hook shape, and is buried under the skin. 3. Stitching Tensioning and ligating the ligament suture, suturing the acromioclavicular joint capsule, deltoid muscle and clavicular epithelium. There are also sacral ligaments that do not suture the fracture, and the edges of the trapezius and deltoid muscles are overlapped on the clavicle and the shoulder to make a suture. The incision was sutured layer by layer. complication The needle is too deep or skewed to stab the subclavian blood vessels and nerves.