自体或异体肌腱联合锁骨钩钢板治疗肩锁关节脱位  被引量:13

Treatment of Aeromioclavicular Dislocation with Clavicular Hook Plate and Autogenous or Allogeneic Tendon

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作  者:黄晖[1] 苏伟[1] 杨志[1] 白鹤[1] 

机构地区:[1]广西医科大学第一附属医院创伤骨科,广西南宁市530021

出  处:《中国骨与关节损伤杂志》2007年第7期538-540,共3页Chinese Journal of Bone and Joint Injury

摘  要:目的介绍应用自体掌长肌腱或同种异体屈肌腱联合锁骨钩钢板治疗肩锁关节脱位的手术方法。方法笔者采用肩锁韧带修复、自体掌长肌腱或同种异体屈肌腱重建喙锁韧带、锁骨钩钢板固定这种手术方法,共治疗18例RockwoodⅢ~Ⅴ型肩锁关节脱位患者,术后获10~42个月随访,平均22.8个月。结果按Karlsson标准对治疗效果进行评估,优16例,良2例。结论采用肩锁韧带修复、自体掌长肌腱或同种异体屈肌腱重建喙锁韧带、锁骨钩钢板固定这种手术方式,是治疗肩锁关节脱位的有效方法。它在目前应用的术式中对肩部正常的解剖结构和生物力学基础影响小,手术操作简单,创伤小,韧带重建可靠,内固定牢固,疗效满意。Objective To introduee a surgical procedure for the treatment of aeromioclavieular dislocation using clavieular hook plate and autogenous palmaris longus tendon or allogeneie flexor tendon. Methods Eighteen patients with aerornioclavieular dislocation of Rockwood type Ⅲ-- Ⅴ were surgieally treated with aeromioclavieular ligament repair, and eoraeoclavieular ligament reeoustruetion using autogenous palrnaris longus tendon or allogeneie flexor tendon, and elavieular hook plate fixation. All patients were followed up for 10 to 42 months (mean 22.8 months). Results The elinieal result was evaluated aeeording to Karlsson system. Sixteen were exeellent and 2 were good. Conclusion This surgieal procedure is an effective method for the treatment of aeromioclavieular dislocation. It has small influenee on shoulder strueture and biological meehanies. The operation offers easy manipulation, minute trauma, reliable ligament reeonstruetion, strong fixation, and satisfaetory result.

关 键 词:自体肌腱 同种异体肌腱 锁骨钩钢板 肩锁关节脱位 

分 类 号:R683.1[医药卫生—骨科学]

 

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