同种异体肌腱结合锚钉重建喙锁韧带治疗急性肩锁关节脱
位
叶晖;林其仁;王文怀;郑煜晖;姚学东
【期刊名称】《中华手外科杂志》 【年(卷),期】2014(030)004
【摘要】Objective To investigate the surgical techniques and clinical outcomes of treating acute acromioclavicular(AC) joint dislocations with coracoclavicular (CC) ligament reconstruction using allogeneic tendon graft and suture anchors.Methods From January 2009 to May 2012,17 patients with acute AC joint dislocation were treated in our department using allogeneic tendon graft reconstruction of the CC ligament combined
with
suture
anchors.According
to
Rockwood
classification,there were 10 cases of type Ⅲ,2 cases of type Ⅳ,and 5 cases of type Ⅴ.The Constant-Murley score and radiographs were used to assess surgical outcomes.Results All the patients were follow-up for 12 to 26 months,with an average of 16.3 months.All patients maintained their previous jobs and normal daily activities of living.The mean Constant-Murley score at the last follow-up was (93.70 ± 1.85) points on the injured side and (95.80 ± 1.18) points on the uninjured contralateral side.There was no statistically significant difference(t =0.640,P =0.43).The mean CC distance measured on the anteroposterior shoulder X-rays was (14.02 ± 1.98) mm before the surgery,(8.32 ± 0.46) mm