Raymond DK. Yeak,Hafiz Daud,Nasir M. Nizlan.[J].中华创伤杂志英文版,2019,22(3):182-186
Osteomyelitis post acromioclavicular joint reconstruction
  
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KeyWord: Acromioclavicular joint dislocationAcromioclavicular joint reconstructionInfectionOsteomyelitisComplication
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Author NameAffiliation
Raymond DK. Yeak Department of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia 
Hafiz Daud Department of Orthopaedic Surgery, Hospital Serdang, Jalan Puchong, 43000 Kajang, Selangor, Malaysia 
Nasir M. Nizlan Department of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia 
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Abstract:
      Acromioclavicular joint (ACJ) injury is a common shoulder injury. There are various techniques of ACJ reconstruction. Superficial infection after ACJ reconstruction is not an uncommon complication. However, osteomyelitis post ACJ reconstruction has never been highlighted as a possible complication. Our patient is a 31-year-old male who sustained a Rockwood 5 ACJ dislocation and had anatomical ACJ reconstruction with autogenous gracilis and semitendinosus graft. Our technique involved the anatomical reconstruction of the ACJ and the coracoclavicular ligament with the usage of two bioscrews and the temporary stabilisation of the ACJ with two k-wires. As in any orthopaedic surgery, infection is often disastrous especially when the surgery involves implants. It can be disastrous with high morbidity to the patient as well as a costly complication to treat. Therefore, we wish to highlight this case as despite its rarity, osteomyelitis can be devastating to the patient and should be prevented if possible.
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