采用TightRope™进行急性肩锁关节脱位的关节镜固定术：至少2（2 - 5）年随访后的结果及并发症
Arthroscopic fixation of acute acromioclavicular joint disruption with TightRope™: Outcome and complications after minimum 2 (2-5) years follow-up.
作者信息
Zhang Li-Feng, Yin Bo, Hou Su, Han Bing, Huang De-Fa
机构信息
1 Department of Pediatric Surgery, Jining No. 1 People's Hospital, Shandong, China.
2 Department of Bone Surgery, Zoucheng People's Hospital, Zoucheng, Shandong, China.
出版信息
J Orthop Surg (Hong Kong). 2017 May-Aug;25(2):2309499016684493. doi: 10.1177/2309499016684493.
PURPOSE
To evaluate the midterm results of arthroscopic reconstruction of acute acromioclavicular (AC) joint disruption using TightRope™ system.
METHODS AND MATERIAL
We retrospectively assess the results of 24 patients of acute AC joint dislocation who were operated using TightRope system. Constant and University of California, Los Angeles (UCLA) scores and coracoclavicular distance were calculated pre- and postoperatively. Data was entered into MS excel and analyzed using the SPSS version 17.
RESULTS
The mean follow-up was 39.45 months. Constant and UCLA scores were significantly increased postoperatively. Six patients had partial loss of reduction within 3-6 months and two patients had a failure of construct. Constant score was significantly lower in these patients.
CONCLUSION
TightRope reconstruction of the AC joint is a reproducible and safe alternative to many other techniques of AC joint reconstruction. Early subluxation remains a concern and may reflect the need for technique modification.
目的
评估使用TightRope™系统关节镜下重建急性肩锁关节（AC）脱位的中期结果。
方法和材料
我们回顾性评估了24例使用TightRope系统进行手术的急性AC关节脱位患者的结果。计算术前和术后的Constant评分、加利福尼亚大学洛杉矶分校（UCLA）评分以及喙锁间距。数据录入MS excel并使用SPSS 17版进行分析。
结果
平均随访39.45个月。术后Constant评分和UCLA评分显著提高。6例患者在3至6个月内出现部分复位丢失，2例患者重建失败。这些患者的Constant评分显著较低。
结论
AC关节的TightRope重建是AC关节重建的许多其他技术的一种可重复且安全的替代方法。早期半脱位仍然是一个问题，可能反映了技术改进的必要性。
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