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[使用自体半腱肌移植进行肩锁关节的解剖重建:改良手术技术]

[Anatomical reconstruction of the acromioclavicular joint using autologous semitendinosus graft: modified surgical technique].

作者信息

Mata-Coronado F J, Hinojosa-Olivares J A, González-Gutiérrez J A

机构信息

Hospital de Ortopedia. Unidad Médica de Alta Especialidad (UMAE) «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Colector 15 s/n (Av. Fortuna), Esq. Av. Politécnico Nacional, Col. Magdalena de las Salinas, Alcaldía. Gustavo A. Madero, CP 07760, Ciudad de México. México.

Servicio de Cirugía Articular Reconstructiva. Hospital de Ortopedia. Unidad Médica de Alta Especialidad (UMAE) «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Colector 15 s/n (Av. Fortuna), Esq. Av. Politécnico Nacional, Col. Magdalena de las Salinas, Alcaldía. Gustavo A. Madero, CP 07760, Ciudad de México. México.

出版信息

Acta Ortop Mex. 2019 Jul-Aug;33(4):247-251.

Abstract

INTRODUCTION

Dislocation of the acromioclavicular joint is a common injury, which is observed mainly in young adults; indications for surgical management and the most appropriate technique remain controversial.

MATERIAL AND METHODS

We present a surgical technique, whose objective is the anatomical reconstruction of the coracoclavicular ligaments with autologous semitendinous graft, without tunnels in the collarbone and without fixing devices.

RESULTS

This technique is reliable for stabilizing the joint in the short term and we consider that it could neutralize the anteroposterior translation of the distal collarbone.

DISCUSSION

Studies are required to report on functional and radiological results, with the use of this surgical technique so that we can then point out that it has advantages over other therapeutic options existing today.

摘要

引言

肩锁关节脱位是一种常见损伤,主要见于年轻人;手术治疗的指征及最合适的技术仍存在争议。

材料与方法

我们介绍一种手术技术,其目的是用自体半腱肌移植物对喙锁韧带进行解剖重建,锁骨上不钻孔且不使用固定装置。

结果

该技术在短期内稳定关节方面可靠,我们认为它可抵消锁骨远端的前后移位。

讨论

需要开展研究报告使用该手术技术的功能和影像学结果,以便我们能够指出它相对于目前其他治疗选择具有优势。

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