Aacromio clavicular reconstruction
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Transcript of Aacromio clavicular reconstruction
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Darko Majić m.d.
County hospital Pula
Mares phantom carbon 110Mares phantom carbon 110
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Tossy classification Gr. I sprain of AC and
CC ligaments Gr. II rupture of AC
capsule and ligaments and sprain of CC ligaments
Gr. III rupture of CC ligaments (piano key sign)
Gr. IV distal luxation of clavicle
Rockwood classification
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Sport injuries (direct shoulder trauma)
Bicycle and motorcycle accidents
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Coraco-clavicular distance
>11-13 mm (50% more
than uninjured shoulder)
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K-wires and Zuggurtung
Bosworth screw
Nottingham Surgilig
Autograft reconstruction (lig. m. Gracillis, lig. Coracoacromialis)
Clavicula plates
Tightrope metod
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Place the patient in a shoulder immobilizer for a periodof at least two weeks. Allow the patient to remove theshoulder immobilizer only for washing and elbow flexionextension exercises. Motion below shoulder height ispermitted until six weeks, at which time full active motionis commenced. Avoid heavy resistance work until threemonths post operation.
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2 cases of system ruptured
In literature some female patients have esthetic issues
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