Agneskirchner J D, Fredrich H H, Imhoff A B
Department of Orthopaedic Sports Medicine, University of Munich (TUM), Munich, Germany.
Arthroscopy. 2001 May;17(5):E18. doi: 10.1053/jars.2001.21252.
We report 2 cases of acromion reconstruction with a bone graft as a salvage procedure after total arthroscopic acromionectomy. Complete removal of the acromion had produced severe shoulder abnormality with pain and joint stiffness. We present the operative technique of acromion reconstruction using a corticocancellous bone graft from the iliac crest. Recreation of the acromion as a fulcrum of the shoulder joint as well as an important physiological insertion area for the deltoid muscle markedly improved pain and range of motion in these patients. In conclusion, based on these cases, we believe that total acromionectomy is an inadequate procedure for treatment of shoulder impingement syndrome. Acromion reconstruction with a bone graft is an alternative that may lead to improvement of clinical symptoms.
我们报告了2例在全关节镜下肩峰切除术后采用骨移植进行肩峰重建的挽救手术病例。完全切除肩峰导致了严重的肩部畸形，并伴有疼痛和关节僵硬。我们介绍了使用取自髂嵴的皮质松质骨移植进行肩峰重建的手术技术。将肩峰重建为肩关节的支点以及三角肌的重要生理附着区域，显著改善了这些患者的疼痛和活动范围。总之，基于这些病例，我们认为全肩峰切除术对于治疗肩峰撞击综合征是一种不充分的手术方法。采用骨移植进行肩峰重建是一种可能改善临床症状的替代方法。
