生物性内固定并喙突上移术治疗肩锁关节完全性脱位  

Biological Repair of Ligaments and Modified Denar' s Operation for Acromioclavicular Dislocation

作　　者：郑遵成 胡令东 朱本科 汤京云 张林 赵恒杰 

机构地区：[1]山东泰安荣军医院骨外科,271000

出　　处：《中国矫形外科杂志》2003年第22期1531-1532,共2页Orthopedic Journal of China

摘　　要：目的:探讨新手术方法治疗肩锁关节完全性脱位的疗效。方法:根据稳定肩锁关节的解剖结构生理特点分别用生物性可吸收材料修复肩锁关节囊并重建肩锁韧带,带肌蒂喙突上移至锁骨重建或代替喙突韧带的功能。结果:28例患者术后随访1～1.5年,肩关节活动度恢复至正常范围,肩锁关节间隙≤4mm,无痛,内固定稳定,全部病例以karlsson标准随访,结果全部评为优。结论:应用生物性内固定并喙突上移术治疗完全性肩锁关节移位,临床效果理想、可靠。Objective: To explore the result of new operative methods for acromioclavieular dislocation. Methods: Based on the anatomy, physiology, and biomechanics, the operation was designed for restoring the stability of a completely dislocated acromioclavieular joint. A double-loop absorbable suture was performed to rebuild acromioclavieular ligament and the capsule for horizontal stability and the modified Denar s operation to reconstruct the coracoclavicular ligament for verticular stability. Results: After 1 - 1. 5 years follow-up, all of 28 patients recoveved with good heal ing, normal range of shoulder joint motion and stable fixation. The curative results of all patients were A degree based on the Karlsson s evaluation. There was no complication. Conclusion: A satisfactory biomechanieal stability of acromioclavieular joint can be rebuild through biological repair of ligaments and modified Denar s operation.

关 键 词：手术治疗 肩锁关节完全性脱位 生物性内固定并喙突上移术 生物性可吸收材料 

分 类 号：R687[医药卫生—骨科学]