Shao Ru-yi, Zhang Yin-can, Lou Cai-jun, Shi Gao-cai, Yu Jia-feng, Luo Cong, Fang Wei-song, Lu Huan-xing, Fang Jie
Department of Orthopaedics, Zhaji People's Hospital, Zhuji 311800, Zhejiang, China.
Zhongguo Gu Shang. 2011 Mar;24(3):202-4.
To investigate clinical effects of coracohumeral ligament reconstruction with autologous double-strand of long palmaris longus tendon and artificial ligament for the treatment of acromioclavicular joint dislocation.
From April 2006 to June 2009, 31 patients with acromioclavicular joint dislocation were treated with coracohumeral ligament reconstruction using autologous double-strand palmaris longus tendon and artificial ligament. There were 18 males and 13 females, ranging in age from 18 to 60 years, with an average of 35 years. Twenty-six patients were acute trauma and other 5 patients were chronic trauma. Preoperative symptoms included different degrees of pain, restricted movement, and instability of acromioclaviecular joint. The X-ray showed acromioclavicular joint dislocation.
The patients had good incision union without vascular and nerve injuries. All the patients were followed up, and the average duration was 23 months. The JOA scores decreased from preoperative (38.8 +/- 1.5) to (73.2 +/- 1.1) at 1 month after operation,and (93.5 +/- 0.8)at the last follow-up. Twenty-eight patients got an excellent result, 2 good and 1 fair.
The reconstruction of coracohumeral ligament using autologous double-strand palmaris longus tendon and artificial ligament is an effective method for the treatment of acromioclavicular joint dislocation.
探讨自体掌长肌腱双股与人工韧带重建喙锁韧带治疗肩锁关节脱位的临床疗效。
2006年4月至2009年6月，采用自体掌长肌腱双股与人工韧带重建喙锁韧带治疗31例肩锁关节脱位患者。其中男18例，女13例；年龄18～60岁，平均35岁。急性创伤26例，慢性创伤5例。术前均有不同程度的疼痛、活动受限及肩锁关节不稳，X线片显示肩锁关节脱位。
患者切口愈合良好，无血管、神经损伤。全部患者均获随访，平均随访时间23个月。JOA评分由术前的（38.8±1.5）分，术后1个月时降至（73.2±1.1）分，末次随访时为（93.5±0.8）分。优28例，良2例，可1例。
自体掌长肌腱双股与人工韧带重建喙锁韧带是治疗肩锁关节脱位的有效方法。
