重庆医学2018，Vol.47Issue(4)：492-493,496,3.DOI:10.3969/j.issn.1671-8348.2018.04.018
关节镜辅助下Endobutton钢板固定取掌长肌腱韧带重建治疗肩锁关节脱位
Ligament reconstruction by getting tendon palmaris longus for treating acromioclavicular joint dislocation under arthroscopically assisted Endobutton steel plate fixation
许玉林 1卓乃强 1毛海郦1
作者信息
- 1. 西南医科大学附属医院骨与关节外科,四川泸州646000
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of coracoclavicular ligament reconstruction by getting tendon palmaris longus for treating acromioclavicular joint dislocation under arthroscopically assisted Endobutton steel plate fixation.Methods Eighteen patients with acute closed acromioclavicular joint dislocation treated in this hospital from January 2013 to March 2015 were selected and treated by coracoclavicular ligament reconstruction by getting tendon palmaris longus and double Endobutton steel plate fixation under arthroscopy.The visual analogue scale(VAS) was adopted before and after operation.The Karlsson treatment effect score was adopted at the end of follow up period.The patients satisfaction was investigated.Results The wounds in 18 cases were stage Ⅰ first grade healing and the reduction of acromioclavicular joint dislocation was good.The postoperative VAS score was(0.56±0.62) points,which was significantly decreased compared with(2.44± 1.20) points before operation(t=5.945,P＜0.01).During the follow-up visit,1 case appeared dislocation recurrence and treated by adopting clavicle hook plate fixation;average follow up time was 17.72 months,the Karlsson score at the end stage was excellent in 12 cases,good in 5 cases and poor in 1 case,the excellent and good rate was 94.44 ％,the patient satisfaction degree was 88.89 ％.Conclusion Arthroscopically assisted Endobutton steel plate fixation combined with ligament reconstruction by tendon palmaris longus for treating acromioclavicular joint dislocation has small trauma and reliable fixation,and promotes the joint function recovery.关键词
关节镜/韧带重建/肩锁关节脱位/EndobuttonKey words
arthroscopes/ligament reconstruction/acromioclavicular dislocation/Endobutton分类
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许玉林,卓乃强,毛海郦..关节镜辅助下Endobutton钢板固定取掌长肌腱韧带重建治疗肩锁关节脱位[J].重庆医学,2018,47(4):492-493,496,3.
