关节镜技术治疗慢性肩锁关节不稳：采用股薄肌腱移植重建喙锁韧带和肩锁韧带以实现关节稳定
Arthroscopic Technique for Stabilization of Chronic Acromioclavicular Joint Instability With Coracoclavicular and Acromioclavicular Ligament Reconstruction Using a Gracilis Tendon Graft.
作者信息
Pühringer Nina, Agneskirchner Jens
机构信息
Go:h Hannover, Hannover, Germany.
出版信息
Arthrosc Tech. 2017 Feb 6;6(1):e175-e181. doi: 10.1016/j.eats.2016.09.036. eCollection 2017 Feb.
Abstract
We present an arthroscopic technique for stabilization of chronic acromioclavicular (AC) joint instability using a transclavicular-transcoracoidal button technique, combined with a coracoclavicular and AC ligament reconstruction using the gracilis tendon. This arthroscopic technique achieves an anatomic reduction of the clavicle without further implant removal. It ensures vertical and horizontal stabilization of the AC joint. Using a horizontal drill hole through the clavicle and looping the gracilis tendon graft around the coracoid avoids weakening of the coracoid with the risk of fracture.
摘要
我们介绍一种关节镜技术，用于使用经锁骨-经喙突纽扣技术稳定慢性肩锁关节（AC）不稳定，并结合使用股薄肌腱进行喙锁和肩锁韧带重建。这种关节镜技术可实现锁骨的解剖复位，无需进一步取出植入物。它确保了肩锁关节的垂直和水平稳定。通过锁骨钻一个水平孔并将股薄肌腱移植物环绕喙突，可避免喙突因骨折风险而变弱。
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