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Re: Повреждение акромиально-ключичного сочленения
Maxim Agalakov 05 Сентябрь 2013, 15:01
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на мой взгляд, оперировать совсем необязательно, что кстати подтверждает Роквуд:
Galpin et al (78) compared conservative treatment to surgical treatment with a Bosworth coracoclavicular screw (87). Results of nonoperative treatment were equal if not superior to those of operative treatment. The nonoperative group had earlier return to work and sports
In summary, the management of type III AC dislocation is still controversial, although the majority of current reports support nonoperative treatment. When reading the literature, the reader must consider that in most comparison studies between operative and nonoperative treatment, the type of surgery varies; rarely is there consistency between study groups and methods. In most patients with type III injuries, excellent functional results can be obtained with nonoperative management.
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