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《自体掌长肌移植重建喙锁韧带结合带线锚钉固定治疗肩锁关节脱位的疗效-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、·28·中华肩肘外科电子杂志2014年2月第2卷第1期ChinJShoulderElbow(ElectronicEdition),February2014,Vol.2,No.1·论著·自体掌长肌移植重建喙锁韧带结合带线锚钉固定治疗肩锁关节脱位的疗效罗吉伟余斌魏宽海覃承诃胡岩君【摘要】目的观察自体掌长肌移植重建喙锁韧带结合带线锚钉固定治疗肩锁关节脱位的治疗效果。方法自2011年5月至2012年5月,收治Rockwood分型Ⅲ度以上的肩锁关节脱位患者30例,以自体掌长肌移植重建喙锁韧带,强生带线锚钉固定维持锁骨于复位状态,观察疗效,包括X线片检查复位效果及Rockwood肩关
2、节功能评分。结果术后对30例患者进行随访,平均随访16个月,术后12个月的患肢肩关节Rockwood评分,优25例(83.33%),良4例(13.33%),可1例(3.33%),差0例(0%),优良率96.7%。结论自体掌长肌移植重建喙锁韧带结合带线锚钉固定治疗肩锁关节脱位效果优良,可成为治疗肩锁关节脱位的一种较好的选择。【关键词】肩锁关节脱位;掌长肌;重建;带线锚钉Transplantationofautogenouspalmarislongustendoncombinedwithsutureanchorfixationinthetreatmentofaromiocla
3、viculardislocationsLuoJiwei,YuBin,WeiKuanhai,QinChenghe,HuYanjun.DepartmentofOrthopedicandTraumatology,theFirstAffiliatedHospitalofSouthernMedicalUniversity,Guangzhou510515,ChinaCorrespondingauthor:YuBin,Email:yubinol@163.com【Abstract】BackgroundClinically,acromioclaviculardislocationisaco
4、mmondisease.Whethersurgicaltreatmentshouldbetakenornotdependsonthetypeanddegreeoftheinjury,aswellasthesymptoms,ages,occupation,exerciserequirements,andotherfactorsofpatients.Acromioclaviculardislocationcanbeclassifiedassixtypes(degrees)accordingtoRockwood.Theinjurywithobvioussymptomsabove
5、Ⅲdegreeisgenerallyconsideredasanimportantoperationindication.Thekeypointinthesurgicaltreatmentofacromioclaviculardislocationistoselectappropriatemethodsfortheacromioclavicularjointfixationafterreduction.Therearemanychoicesoftheinternalfixationtofixtheacromioclavicularjoint,suchastheKirsch
6、nerwireandtensionband,theclavicularhookplateoranatomicalplateforthecoracoclavicularjointfixation,andthecannulatedscrews,steelwiresorsutureanchorsforthecoracoclavicularfixation.Theselectionofthesefixationscanbecombinedwithdebridementoftheacromioclavicularjoint,thedistalclavicleresection,or
7、stitchingandreconstructionofthecoracoclavicularligament.Mostofthesesurgicalprocedureshaveobtainedbetterresults.However,theinternalfixationfailure,displacementordislocationafterthefixationremovalsometimeshappened.Consideringthatthecoracoclavicularligamentplaysanimpor
