Department of Orthopaedic Surgery and Traumatology, Musculo-skeletal Institute, Toulouse-Rangueil Teaching Hospital Center, 1, avenue Jean-Poulhès, TSA 50032, 3159 Toulouse cedex 9, France.
Orthop Traumatol Surg Res. 2010 May;96(3):314-8. doi: 10.1016/j.otsr.2009.12.008. Epub 2010 Apr 15.
The authors report a case of posterior sternoclavicular dislocation surgically reduced and stabilized with tenodesis, according to the Burrows technique completed by temporary wire fixation. The patient presented postoperative pericardiac tamponade appearing progressively from brachiocephalic blood vessels bleeding. Emergency drainage was surgically placed associated with removal of the material, thus curing the patient. This complication, although exceptional, formally contraindicates the use of wire fixation in surgery of the sternoclavicular joint.
作者报告了一例采用 Burrows 技术进行手术复位和肌腱固定的后胸锁关节脱位病例，术中临时采用钢丝固定。患者术后出现进行性心包填塞，表现为头臂血管出血。紧急引流术联合取出材料进行了手术放置，从而治愈了患者。这种并发症虽然罕见，但明确禁止在胸锁关节手术中使用钢丝固定。
