肩锁关节重建
Acromioclavicular Joint Reconstruction.
作者信息
Scillia Anthony J, Cain E Lyle
机构信息
American Sports Medicine Institute, Birmingham, Alabama, U.S.A.; Department of Orthopaedics, School of Health and Medical Sciences, Seton Hall University, South Orange, New Jersey, U.S.A.
American Sports Medicine Institute, Birmingham, Alabama, U.S.A.
出版信息
Arthrosc Tech. 2015 Dec 28;4(6):e877-83. doi: 10.1016/j.eats.2015.08.014. eCollection 2015 Dec.
Abstract
Our technique for acromioclavicular joint reconstruction provides a variation on coracoclavicular ligament reconstruction to also include acromioclavicular ligament reconstruction. An oblique acromial tunnel is drilled, and the medial limb of the gracilis graft, after being crossed and passed beneath the coracoid and through the clavicle, is passed through this acromial tunnel and sutured to the trapezoid graft limb after appropriate tensioning. Tenodesis screws are not placed in the bone tunnels to avoid graft fraying, and initial forces on the graft are offloaded with braided absorbable sutures passed around the clavicle.
摘要
我们的肩锁关节重建技术是对喙锁韧带重建的一种改进，同时也包括肩锁韧带重建。钻一个斜行的肩峰隧道，股薄肌移植物的内侧肢体交叉后从喙突下方穿过并穿过锁骨，然后穿过这个肩峰隧道，并在适当张紧后缝合到梯形移植物肢体上。骨隧道内不放置固定螺钉以避免移植物磨损，移植物上的初始力通过环绕锁骨的编织可吸收缝线卸载。
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