Acromioclavicular joint open reduction and internal fixation, coracoclavicular fusion or internal fixation

Acromioclavicular joint open reduction and internal fixation, shackle fusion or internal fixation for acromioclavicular joint dislocation for more than 3 weeks failed to get reset, and local pain, and affect the shoulder lift and abduction. Treatment of diseases: acromioclavicular joint dislocation Indication Acromioclavicular joint open reduction and internal fixation, shackle fusion or internal fixation for acromioclavicular joint dislocation for more than 3 weeks failed to get reset, and local pain, and affect the shoulder lift and abduction. Surgical procedure 1. Incision: An arcuate incision of the shoulder, starting from the outer end of the shoulder, along the acromioclavicular joint and the front of the clavicle to the junction of the middle and outer 1/3 of the clavicle. 2. Reveal the acromioclavicular joint: cut the fascia and the clavicle periosteum, and make the submucosal dissection of the deltoid and trapezius muscles in the forward and backward directions, and expose the acromioclavicular joint. 3. Reset and fix the acromioclavicular joint: After the acromioclavicular joint is reset, the two Kirschner wires are crossed and fixed, and the short tail bend of the needle tail is left under the skin. 4. Cut the condyle from its base, with the biceps brachial plexus, the diaphragm and the pectoralis minor muscle attached to it, and move it upwards to the repaired rough-faced clavicle, and fix it with screws. . If the clavicle condyle fixation is performed, the condyle is not cut off, and the clavicle does not need to be shaved and rough, and the clavicle is directly fixed on the condyle by screws. 5. Suture the incision intermittently according to the level. complication The needle is too deep or skewed to stab the subclavian blood vessels and nerves.