Zhu Jianwei, Liu Fan, Zhang Jianhua, Dong Qirong, Li Shuai, De Si
Department of Orthopaedics, the Affiliated Hospital of Nantong University, Nantong Jiangsu, PR China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Feb;26(2):201-4.
To evaluate the early result of triple Endobutton technique for reconstructing coracoclavicular ligament of chronic complete acromioclavicular joint dislocations.
Between January 2009 and June 2010, 14 patients with chronic complete acromioclavicular joint dislocations were treated with triple Endobutton technique for reconstructing coracoclavicular ligament. There were 10 males and 4 females with a mean age of 38.5 years (range, 26-52 years). Injury was caused by traffic accident in 7 cases, by falling in 5 cases, and by bruise in 2 cases. The average time was 47 days from injury to the operation (range, 29-75 days). All patients had pain and activity restriction. The X-ray films showed complete dislocation of acromioclavicular joint. According to Allman's type, all cases were classified as III degree complete dislocations.
At postoperation, wound healed by first intention with no early complication of infection or neurovascular injury. All patients were followed up 18.3 months on average (range, 13-30 months). Acromioclavicular joint subluxation occurred in 1 patient at 1 week after operation, and no redislocation or other complication occurred in the other patients. American Shoulder and Elbow Surgeons (ASES) score was 90.8 +/- 4.1 at last follow-up, showing significant difference when compared with the preoperative score (65.3 +/- 4.4) (t = -17.57, P = 0.00); Constant-Murley score was 91.7 +/- 3.9, showing significant difference when compared with preoperative one (71.5 +/- 4.6) (t = -75.02, P = 0.00). The definite answer in Simple Shoulder Test (SST) averaged 9.7 (range, 7-12).
The triple Endobutton technique for reconstructing coracoclavicular ligament is an effective method in treatment of chronic complete acromioclavicular joint dislocations. The short-term results are satisfactory.
评估采用三Endobutton技术重建慢性完全性肩锁关节脱位喙锁韧带的早期效果。
2009年1月至2010年6月，对14例慢性完全性肩锁关节脱位患者采用三Endobutton技术重建喙锁韧带。其中男性10例，女性4例，平均年龄38.5岁（范围26 - 52岁）。损伤原因：交通事故致伤7例，跌倒致伤5例，撞伤2例。受伤至手术平均时间47天（范围29 - 75天）。所有患者均有疼痛及活动受限。X线片显示肩锁关节完全脱位。根据Allman分型，所有病例均为Ⅲ度完全脱位。
术后伤口一期愈合，无早期感染及神经血管损伤并发症。所有患者平均随访18.3个月（范围13 - 30个月）。1例患者术后1周出现肩锁关节半脱位，其余患者未再出现脱位及其他并发症。末次随访时美国肩肘外科医师（ASES）评分为90.8±4.1，与术前评分（65.3±4.4）比较差异有统计学意义（t = -17.57，P = 0.00）；Constant - Murley评分为91.7±3.9，与术前评分（71.5±4.6）比较差异有统计学意义（t = -75.02，P = 0.00）。简单肩关节试验（SST）明确答案平均为9.7（范围7 - 12）。
采用三Endobutton技术重建喙锁韧带是治疗慢性完全性肩锁关节脱位的有效方法，短期效果满意。
