中国组织工程研究与临床康复2011，Vol.15Issue(17)：3212-3216,5.DOI:10.3969/j.issn.1673-8225.2011.17.041
金属缝合锚治疗肩锁关节脱位20例
Application of suture anchor to treat acromioclavicular dislocation in 20 cases
杨顺 1姜春岩 2向明 1牟建雄 1陈杭 1杨国勇1
作者信息
- 1. 四川省骨科医院上肢创伤科,四川省成都市,610041
- 2. 北京积水潭医院,北京市,100035
- 折叠
摘要
Abstract
BACKGROUND: Fixation of acromioclavicular dislocation is difficult and often accompanied with complications in late stage in clinic. There are many disputes about treatment of severe acromioclavicular dislocation.OBJECTIVE: To introduce the procedure of distal clavicle excision and reconstruction of coracoclavicular ligament with suture anchor to treat acromioclavicular dislocation and to analyze the effect on clinical cases.METHODS: Twenty cases were followed up from November, 2006 to January, 2009, diagnosed as acromioclavicular dislocation.Radiological evaluation was applied at final follow up. In addition, shoulder function was measured according to UCLA, Constant Scores and Shoulder Concise Questionnaire (SST).RESULTS : A mean time of 15.6 months (9-26 months) follow-up was completed after surgery. The height of distal clavicle in all patients reached anatomical reduction. The average UCLA score was 33 (28-35), and the average Constant score was 91.6(82-96).The average forward flexion and elevation was 146.4°, and that of external rotation was 45.6°. Positive answers in SST questionnaire were 12 at average. The rate of excellence and good was 85％ (17/20) in common. Positive answers were gained,when the same operative treatment was readily accepted if the same fracture arose at contralateral shoulder. Distal clavicle excision and coracoclavicular ligament reconstruction with sutu re anchor is an effective method to treat acromioclavicular dislocation resulted from severe trauma. Suture anchor has the advantages of good compatibility and adaptation, reliable fixation with high strength in order to obtain stable early fixation. Distal clavicle excision prevents acromioclavicular arthritis. As a choice of allograft, the lateral half of the conjoined tendon not only have enough length, but also prevent the sacrifice of the coracoacromial ligament, so that the complete coracoacromial arch is reserved. For the patient who has co-exiting rotator cuff injury, the lateral half of the conjoined tendon is a good choice of allograft. Reconstruction of coracoclavical ligament with suture anchor, repair of the coracoclavical ligament and restore the function of the coracoclavical space have the advantages of short operation time, less complication and no need of secondary operation. In combination with postoperative rehabilitative exercises, the function of shoulder can reach original sport level.关键词
肩锁关节脱位/缝合锚/锁骨远端切除/喙锁韧带/功能恢复分类
医药卫生引用本文复制引用
杨顺,姜春岩,向明,牟建雄,陈杭,杨国勇..金属缝合锚治疗肩锁关节脱位20例[J].中国组织工程研究与临床康复,2011,15(17):3212-3216,5.
