Hachem Abdul-Ilah, S Rafael Rondanelli, Costa Gino, Verdalet Iñigo, Ezzeddine Hady, Rius Xavier
Department of Orthopedic and Traumatology Surgery, Hospital Universitari de Bellvitge (L'Hospitalet de Llobregat) Barcelona, Spain.
University of Barcelona Shoulder Surgery Master Fellowship, Hospital Universitari de Bellvitge (L'Hospitalet de Llobregat) Barcelona, Spain.
Arthrosc Tech. 2020 Sep 15;9(10):e1495-e1504. doi: 10.1016/j.eats.2020.06.012. eCollection 2020 Oct.
Acromioclavicular dislocations are some of the most frequently recorded and controversial injuries in the athletic population. These injuries have historically been a matter of disagreement between surgeons, particularly when it comes to the surgical technique used to treat them, its approach, or its timing. Consensus over the "gold standard" procedure to treat them is yet to be established. Even though numerous surgical techniques have already been described, the number of complications and loss of reduction remains a matter of concern for treating physicians. Here, we present an arthroscopically assisted coracoclavicular and horizontal acromioclavicular fixation technique in a modified figure-of-eight configuration using 2 strong FiberTape Cerclage sutures, with measurable tension, for the comprehensive treatment of acromioclavicular joint dislocations.
肩锁关节脱位是运动员群体中记录最为频繁且颇具争议的损伤之一。从历史上看,这些损伤一直是外科医生之间存在分歧的问题,尤其是在用于治疗它们的手术技术、其入路或时机方面。对于治疗这些损伤的“金标准”手术方法尚未达成共识。尽管已经描述了众多手术技术,但并发症的数量和复位丢失问题仍然是治疗医生所关注的。在此,我们介绍一种关节镜辅助下的喙锁和水平肩锁固定技术,采用改良的8字形构型,使用2根具有可测量张力的强力纤维带环扎缝线,用于肩锁关节脱位的综合治疗。