肩锁关节脱位悬吊袢钢板固定术后再脱位  

Re-dislocation after loop-plate suspension fixation of acromioclavicular dislocation

作　　者：甘志勇 黄长明 范华强 张少战 傅仰攀 董辉详 胡喜春 朱天昊 GAN Zhi-yong;HUANG Chang-ming;FAN Hua-qiang;ZHANG Shao-zhan;FU Yang-pan;DONG Hui-xiang;HU Xi-chun;ZHU Tian-hao(Department of Orthopedics,Cheng-gong Hospital,Xiamen University,Xiamen361003,China)

机构地区：[1]陆军第73集团军医院暨厦门大学附属成功医院骨科,福建厦门361003

出　　处：《中国矫形外科杂志》2023年第3期269-271,共3页Orthopedic Journal of China

摘　　要：[目的]分析关节镜下悬吊袢钢板治疗肩锁关节脱位术后再脱位的原因。[方法]采用关节镜下悬吊袢钢板技术治疗36例肩锁关节脱位患者,跟踪随访术后复位丢失例数并分析其具体原因。[结果]所有患者均顺利完成手术,无严重并发症,均获随访6个月以上。与术前相比,术后6个月Constant-Murley和ASES评分均显著增加(P<0.05);影像测量喙锁间距(cor⁃acoclavicular distance,CCD)显著减小(P<0.05)。共3例术后再脱位,占8.3%。再脱位原因,1例为骨隧道不佳,1例骨质疏松,1例为过早负重。[结论]肩关节镜下悬吊袢钢板治疗肩锁关节脱位术后仍可能发生再脱位,原因包括骨隧道不佳、骨质疏松、过早负重。[Objective]To explore the causes of re-dislocation after arthroscopic loop-plate suspension fixation of the acromioclavicu⁃lar dislocation(ACD).[Methods]A total of 36 patients received loop-plate suspension fixation for ACD in our department.The patients were followed up to determine the occurrence of postoperative re-dislocation,and analyze the specific reason.[Results]All patients had ACD reduced and fixed successfully without serious complications and were followed up for more than 6 months.Compared with those pre⁃operatively,the Constant-Murley and ASES scores significantly increased at 6 months after operation(P<0.05),the coracoclavicular dis⁃tance(CCD)measured on images decreased significantly(P<0.05).Re-dislocation was found in 3 patients,accounting for 8.3%.The causes of re-dislocation were poor bone tunnel positioning in 1 case,osteoporosis in 1 case,and premature weight bearing activity in 1 case.[Conclusion]Re-dislocation does still occur after loop-plate suspension fixation under shoulder arthroscopy for ACD.The reasons in⁃clude poor bone tunnel positioning,osteoporosis and premature weight bearing activity.

关 键 词：肩锁关节脱位 袢钢板悬吊固定 关节镜术 术后再脱位 

分 类 号：R684.7[医药卫生—骨科学]