Martetschläger Frank, Braun Sepp, Lorenz Stephan, Lenich Andreas, Imhoff Andreas B
Department of Orthopaedic Sports Medicine, University Hospital Rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Department for Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstr. 38, 81925, Munich, Germany.
Knee Surg Sports Traumatol Arthrosc. 2016 Jul;24(7):2225-30. doi: 10.1007/s00167-015-3570-3. Epub 2015 Mar 11.
Surgical treatment of sternoclavicular joint instability can be challenging and carries the inherent risk of damaging vital structures if the posterior capsule is violated during surgery. In the current manuscript, a novel and easy technique for open reduction and tendon graft stabilization of the unstable sternoclavicular joint is presented. Analogous to other techniques, the graft is passed through drill holes in a figure-of-eight configuration. However, for this technique, the drill holes are placed in oblique direction from the anterior cortex towards the articular surface of the sternum, respectively the medial clavicle. By doing so, graft reconstruction is achieved without any need for retrosternal dissection and mobilization of the posterior capsule, thus minimizing the risk of severe intraoperative complications.
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胸锁关节不稳定的手术治疗具有挑战性，并且如果在手术过程中后关节囊受到侵犯，存在损害重要结构的固有风险。在本手稿中，介绍了一种用于不稳定胸锁关节切开复位和肌腱移植稳定的新颖且简便的技术。与其他技术类似，移植物以8字形穿过钻孔。然而，对于该技术，钻孔分别从前皮质向胸骨关节面以及锁骨内侧以倾斜方向放置。通过这样做，无需进行胸骨后解剖和后关节囊的松动即可实现移植物重建，从而将严重术中并发症的风险降至最低。
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