解放军医学杂志2017，Vol.42Issue(12)：1088-1091,4.DOI:10.11855/j.issn.0577-7402.2017.12.12
自体腓骨长肌腱前半部重建喙锁韧带治疗Neer Ⅱb型锁骨远端骨折26例分析
Coracoclavicular ligament reconstruction with the autogenous anterior half of the peroneus longus tendon for distal clavicle fracture (Neer type Ⅱ-b): A report of 26 cases
杨广友 1李朋 1宋群山 1刘光明 1杜传林1
作者信息
- 1. 222100 江苏连云港 连云港市赣榆区人民医院骨科
- 折叠
摘要
Abstract
Objective To explore the clinical effect of coracoclavicular ligament reconstruction with the autogenous anterior half of peroneus longus tendon (AHPLT) for distal clavicle fracture (Neer type Ⅱ-b).Methods The clinical data were retrospectively analyzed of 26 Neer type Ⅱ-b distal clavicle fracture surgically treated by coracoclavicular ligament reconstruction with autogenous AHPLT in Ganyu District People's Hospital of Lianyungang from June 2012 to May 2015.Among the 26 cases,16 males and 10 females,aged from 19-56 years (average 38.7 years).Fracture occurred in left side in 18 cases and in right side in 8 cases.Postoperative observations were done on fracture healing,shoulder and ankle-foot function recovery.Results For all the 26 cases,surgical incisions were healed well,and no infection,vascular and peroneal nerve injury and iatrogenic fracture occurred.Follow-up was carried out for 10-24 months with average of 15.3 months.All the fractures were healed within 12-20 weeks with an average of 14.6 weeks.One patient was found of losing the fracture reduction part during the follow-up process,and then got eventual healing by extending the limb brake time.Another patient was found of slight tendon sensation disorder with no significant effect on daily life and exercise,and the symptoms disappeared 6 months later.At the last follow-up,the Constant-Murley score was 92-100 with an average of 97.8 points.The ankle-hind foot score of American Society of Ankle and Orthopedics was excellent.Conclusion Reconstruction of coracoclavicular ligament with autogenous AHPLT is an effective treatment for Neer type Ⅱ-b distal clavicle fracture with good safety and without negative effect on the ankle-foot function,and thus it is worthy of wider clinical use.关键词
锁骨远端骨折/喙锁韧带/腓骨长肌腱Key words
distal clavicle fracture/coracoclavicular ligament/peroneus longus tendon分类
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杨广友,李朋,宋群山,刘光明,杜传林..自体腓骨长肌腱前半部重建喙锁韧带治疗Neer Ⅱb型锁骨远端骨折26例分析[J].解放军医学杂志,2017,42(12):1088-1091,4.
