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Abstract:

Objective Comparison of the clinical curative effects of the Hippocratic method and the wrist⁃ clamping and shoulder ⁃ lifting method to reduction the primary acute anterior acromioclavicular joint dislocation. Methods 130 patients with anterior shoulder dislocation who were admitted to the joint surgery department from February 2017 to February 2020 in our hospital were taken as the research objects. According to different treatment methods，they were randomly divided into the wrist⁃clamping and shoulder⁃lifting group（78 cases）and the hand⁃ held foot pedaling group（52 cases），and compared the results of the two groups of reduction methods in shoulder joint pain VAS score，shoulder joint function JOA score，reduction success rate，reduction complications，clinical efficacy and shoulder joint function rehabilitation time. Results There was no significant difference in the efficacy of the shoulder joint pain VAS score，shoulder joint function JOA score，reduction complications，clinical efficacy and shoulder joint rehabilitation time between the two groups（P > 0.05）. The success rate of the first reduction in the wrist⁃clamping and shoulder⁃lifting group was greater than that of the Hippocratic group，and the difference was statistically significant（P < 0.05）. Conclusion The use of wrist⁃clamping and shoulder⁃lifting method to treat anterior shoulder dislocation is better than the traditional Hippocratic method in the first reduction success rate， short time，low power，and the patient feels less pain during the reduction process，and has the same effect as the Hippocratic method in terms of safety and shoulder joint functional rehabilitation.

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