Thomas D P, Williams P R, Hoddinott H C
Department of Trauma and Orthopaedics, Morriston Hospital, Swansea, UK.
Ann R Coll Surg Engl. 2000 Nov;82(6):432-5.
In symptomatic patients with recurrent anterior sternoclavicular dislocation, surgery may be required to stabilise the joint. Posterior sternoclavicular dislocations may also require open reduction and stabilisation due to the complications that may arise. We present a new, 'safe' technique of surgical stabilisation of the sternoclavicular joint that is not technically demanding and does not require exposure of the first rib, as is often the case in other methods described. The repair was tested in cadavers before being employed in three patients and was found to be effective under both static and dynamic loading. The early clinical results prove encouraging.
对于复发性前侧胸锁关节脱位的有症状患者,可能需要手术来稳定关节。后侧胸锁关节脱位由于可能出现的并发症,也可能需要切开复位和稳定术。我们提出一种新的、“安全”的胸锁关节手术稳定技术,该技术对技术要求不高,且不需要像其他所述方法那样暴露第一肋骨。该修复方法在用于三名患者之前先在尸体上进行了测试,发现在静态和动态负荷下均有效。早期临床结果令人鼓舞。