慢性完全性肩锁关节脱位的手术治疗
Surgical treatment of chronic complete acromioclavicular dislocation.
作者信息
Adam Faisal F, Farouk Osama
机构信息
Department of Orthopaedics, Assiut University Hospital, Assiut, Egypt.
出版信息
Int Orthop. 2004 Apr;28(2):119-22. doi: 10.1007/s00264-003-0520-3. Epub 2003 Nov 4.
Abstract
We treated surgically 14 patients with symptomatic complete dislocation of the acromioclavicular joint. The surgical procedure included reconstruction of the coracoclavicular ligament using the coracoacromial ligament as substitute, reconstruction of the acromioclavicular ligament, and imbrications of the deltotrapezius aponeurosis over the top of the distal clavicle. A temporary tension band between the clavicle and acromion was used to stabilize the joint. Two patients were lost to follow-up. Twelve patients were followed for an average of 20 (18-60) months. Functional outcome was assessed according to modified UCLA acromioclavicular rating scale. The results were excellent in eight patients, good in three, and fair in one. In one patient, there was loosening of the temporary fixation with subluxation of the clavicle.
摘要
我们对14例有症状的肩锁关节完全脱位患者进行了手术治疗。手术步骤包括用喙肩韧带替代重建喙锁韧带、重建肩锁韧带，以及在锁骨远端上方重叠缝合三角肌斜方肌腱膜。在锁骨和肩峰之间使用临时张力带稳定关节。2例患者失访。12例患者平均随访20（18 - 60）个月。根据改良的加州大学洛杉矶分校（UCLA）肩锁关节评分量表评估功能结果。结果为8例优，3例良，1例可。1例患者临时固定松动，锁骨半脱位。
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