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用于修复V级肩锁关节脱位的韧带增强与重建系统故障

Ligament Augmentation and Reconstruction System Failures in Repair of Grade V Acromioclavicular Joint Dislocation.

作者信息

Li Martin K-H, Woods David

机构信息

Department of Trauma and Orthopaedics, Great Western Hospitals NHS Foundation Trust, Swindon SN3 6BB, UK.

出版信息

Case Rep Orthop. 2017;2017:3792610. doi: 10.1155/2017/3792610. Epub 2017 Sep 6.

DOI:10.1155/2017/3792610
PMID:29038741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5606104/
Abstract

The Ligament Augmentation and Reconstruction System® (LARS®) represents a popular synthetic anatomical reduction method for acromioclavicular joint dislocation by means of coracoclavicular ligament reconstruction. To our knowledge, no early failure has been documented in the literature. We present two unusual cases of LARS failure, one at four months after implant and the other at three weeks, without obvious causes, requiring re-do reconstruction, and discuss potential contributory factors.

摘要

韧带增强与重建系统（LARS）是一种通过喙锁韧带重建来治疗肩锁关节脱位的常用人工解剖复位方法。据我们所知，文献中尚无早期失败的记录。我们报告两例LARS失败的罕见病例，一例在植入后四个月，另一例在三周时，均无明显原因，需要再次进行重建，并讨论了可能的促成因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/fc098404a18a/CRIOR2017-3792610.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/72f068a4da0f/CRIOR2017-3792610.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/b6f2728d0c92/CRIOR2017-3792610.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/a1bfa26000c5/CRIOR2017-3792610.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/78cd1c3f50c7/CRIOR2017-3792610.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/fc098404a18a/CRIOR2017-3792610.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/72f068a4da0f/CRIOR2017-3792610.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/b6f2728d0c92/CRIOR2017-3792610.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/a1bfa26000c5/CRIOR2017-3792610.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/78cd1c3f50c7/CRIOR2017-3792610.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ec/5606104/fc098404a18a/CRIOR2017-3792610.005.jpg

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本文引用的文献

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Acta Orthop Belg. 2016 Mar;82(1):119-23.
2
Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes.使用LARS韧带对职业运动员与非职业运动员进行肩锁关节重建
Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1961-7. doi: 10.1007/s00167-014-3231-y. Epub 2014 Aug 23.
3
Evaluation of the coracoclavicular reconstruction using LARS artificial ligament in acute acromioclavicular joint dislocation.
用于韧带重建的LARS™韧带出现三次物质内部失效。
Ann R Coll Surg Engl. 2019 Mar;101(3):e79-e83. doi: 10.1308/rcsann.2018.0212. Epub 2019 Jan 3.
应用LARS人工韧带重建喙锁韧带治疗急性肩锁关节脱位的疗效评估
Knee Surg Sports Traumatol Arthrosc. 2014 Sep;22(9):2223-7. doi: 10.1007/s00167-013-2582-0. Epub 2013 Jun 30.
4
Surgical treatment of chronic acromioclavicular dislocation with biologic graft vs synthetic ligament: a prospective randomized comparative study.生物移植物与合成韧带治疗慢性肩锁关节脱位的手术治疗：前瞻性随机对照研究。
J Orthop Traumatol. 2013 Dec;14(4):283-90. doi: 10.1007/s10195-013-0242-2. Epub 2013 May 7.
5
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Eur J Orthop Surg Traumatol. 2013 Dec;23(8):873-6. doi: 10.1007/s00590-012-1113-x. Epub 2012 Oct 30.
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Clavicular bone tunnel malposition leads to early failures in coracoclavicular ligament reconstructions.锁骨骨隧道位置不当会导致肩锁韧带重建的早期失败。
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