Orthopedic Department, Hallym University Medical Center, 153 Gyodong, Chuncheon, 200-704, South Korea.
Int Orthop. 2011 Jul;35(7):1025-30. doi: 10.1007/s00264-010-1124-3. Epub 2010 Sep 16.
We describe a method of arthroscopically assisted, mini-open, anatomical reconstruction of the coracoclavicular ligament. This method restores both components of the native ligament with the aim of achieving maximum stability with minimal disruption of the normal anatomy. Using the same principles of ligament reconstruction that are employed in other joints, transosseous tunnels are created following the native footprints of the conoid and trapezoid ligaments and an autologous graft is fixed using a PEEK screw. Adequate healing of the ligament occurs within the bone, to prevent stress risers with an appropriate working length. This procedure is unique, as it replaces the torn ligament with a natural substitute, in the appropriate location, through a minimally invasive procedure. This technique would be suitable for treatment of patients with either grade III or V acute acromioclavicular dislocations. Clinical outcomes for the first 13 consecutive patients treated with this procedure are reported, revealing excellent satisfaction rates with a Constant score of 96.6 at final follow-up.
我们描述了一种关节镜辅助的、微创的、解剖重建喙锁韧带的方法。这种方法同时重建了韧带的两个组成部分，旨在实现最大的稳定性，同时最小化对正常解剖结构的破坏。使用与其他关节相同的韧带重建原则，在锥形韧带和梯形韧带的固有足迹处创建贯穿骨隧道，并使用 PEEK 螺钉固定自体移植物。韧带在骨内愈合，以防止出现适当工作长度的应力 riser。该手术是独特的，因为它通过微创手术，将撕裂的韧带用天然替代物在适当的位置进行重建。该技术适用于治疗急性肩锁关节脱位 III 或 V 度的患者。报告了 13 例连续患者接受该手术治疗的临床结果，最终随访时的Constant 评分为 96.6，满意度非常高。
