Shetty Nagraj S, Yoo Yon S, Kim Do Y, Lee Sang S, Jeong Un S
Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
Acta Orthop Belg. 2009 Dec;75(6):828-31.
We describe a technique of open anatomical coracoclavicular ligament reconstruction restoring both parts of the native ligament, aiming at achieving maximum stability of the acromioclavicular joint without disturbing the normal anatomy. Using the same anatomical principle of ligament reconstruction as in other joints, transosseous tunnels are created at the native footprints of the conoid and trapezoid ligaments. An autologous graft is fixed using an Endobutton continuous loop and a PEEK screw; adequate healing of the ligament is ensured with an appropriate working length. Although an open procedure, this technique offers several advantages. It can be easily reproduced using basic anatomical principles and simple cost-effective instrumentation. The implant does not have to be removed, important anatomical structures are respected, normal acromioclavicular joint kinematics are restored, the scar is cosmetically acceptable and post-operative morbidity is very low.
我们描述了一种开放性解剖学喙锁韧带重建技术，该技术可恢复天然韧带的两个部分，旨在在不干扰正常解剖结构的情况下实现肩锁关节的最大稳定性。采用与其他关节韧带重建相同的解剖学原理，在锥状韧带和梯形韧带的天然附着点处创建经骨隧道。使用Endobutton连续环和PEEK螺钉固定自体移植物；通过适当的工作长度确保韧带充分愈合。尽管这是一种开放性手术，但该技术具有多个优点。它可以利用基本的解剖学原理和简单且经济高效的器械轻松重现。植入物无需取出，重要的解剖结构得到尊重，肩锁关节的正常运动学得以恢复，疤痕在美容上是可接受的，并且术后发病率非常低。
