中国组织工程研究Issue(42)：6759-6763,5.DOI:10.3969/j.issn.2095-4344.2015.42.007
喙锁韧带重建中锁骨钻孔位置的数字解剖学
Digital anatomical analysis of drilling position of the clavicle in coracoclavicular ligament reconstruction
摘要
Abstract
BACKGROUND:Coracoclavicular ligament reconstruction with transclavicular-transcoracoid driling is an effective surgical technique to treat acromioclavicular dislocation. A good driling in the clavicle leads to a perfect bony tunnel and a good surgery. OBJECTIVE: To observe the effects of different driling positions of the clavicle on the location of bony tunnels in coracoclavicular ligament reconstruction. METHODS:Sixty three-dimensional digital models of the clavicle and coracoid process were constructed by Mimics13.0. Virtual transclavicular-transcoracoid bony tunnels were established according to different surgical planes with different driling positions in the clavicle. Parameters of these bony tunnels were measured, and the safety was evaluated. Option 1: The driling was made 30 mm distal to the clavicle, located in the center of the front and rear edges of the clavicle surface. Option 2: The driling was made 40 mm distal to the clavicle, located in the center of the front and rear edges of the clavicle surface. Option 3: The driling was made at the straight line of tapered nodule tip and the midpoint of the base of the coracoid process, located at the rear edge of the clavicle upper surface. RESULTS AND CONCLUSION: Bony tunnels in option 1 were extremely on the inside of the coracoid. Bony tunnels in options 1 and 2 were not in the center of clavicle. Bony tunnels in option 3 were in the center of both clavicle and coracoid. The method of locating the driling position with a certain distance to the distal clavicle leads to different results in man’s and woman’s models. To ensure that the bony tunnel can pass through the center of clavicle and coracoid, it is suggested to dril at the straight line of tapered nodule tip and the midpoint of the base of the coracoid process and nearby the rear edge of the clavicle upper surface.关键词
组织构建/组织工程/数字解剖学/锁骨/喙突/喙锁韧带重建/骨道/肩锁关节脱位分类
医药卫生引用本文复制引用
陈羽,宋烜,陆骅,张天浩,姚兵..喙锁韧带重建中锁骨钻孔位置的数字解剖学[J].中国组织工程研究,2015,(42):6759-6763,5.基金项目
上海市高等职业教育重点专业建设(085工程)(FY(14)700-A5-1-17，FY(15)700-A6-1-10)Funding:the Key Specialty Construction of Shanghai Higher Vocational Education, No. FY(14)700-A5-1-17, FY(15)700-A6-1-10 （085工程）
