Journal List > J Korean Orthop Assoc > v.34(6) > 1112173

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Kim, Shin, Im, Koun, Cho, and Lim: Treatment of Acute Acromioclavicular Dislocation by a Modified Bosworth Method
Original Article

Journal of the Korean Orthopaedic Association 1999; 34(6): 1141-1146.

Published online: 22 October 2018

DOI: https://doi.org/10.4055/jkoa.1999.34.6.1141

Treatment of Acute Acromioclavicular Dislocation by a Modified Bosworth Method

Do Yung Kim, Joo Ho Shin, Gun Il Im, Min Wook Koun, Won Ho Cho, Seung Ryul Lim

Department of Orthopedic Surgery, Hallym University, Chunchon, Korea.

Copyright © by The Korean Orthopaedic Association

Abstract

PURPOSE

To find out the problem of modified Bosworth method and improve the method of operation.

MATERIALS AND METHODS

21 patients treated with modified Bosworth method were evaluated after a minium follow-up period of two years. The results were analysed clinically and reontgenographically.

RESULTS

In postoperative X-ray evaluation, the coracoclavicular interval of the operated side was decreased by an average of 0.8 mm compared with that of the normal side. There was no significant difference in coracoclavicular interval between after screw removal and last follow-up. Loosening of the screw was seen in 3 of the 5 cases overcorrected by more than 2 mm and the result was fair in two of them. A satisfactory result was obtained in 17 (81.1%) of the 21 cases.

CONCLUSION

Modified Bosworth method for acute complete acromioclavicular dislocation yields better results provided the overcorrection and anterior displacement of the clavicle are appropriately protected.

Keywords: Acromioclavicular Joint, Dislocation, Bosworth Method

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