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关节镜下喙突皮质悬吊术治疗急性肩锁关节损伤中喙锁韧带的稳定化;钻孔隧道的精确性

Arthroscopic Coracoclavicular Ligament Stabilization Using Coracoid Cortical Suspension in Acute Acromioclavicular Joint Injury; Precision of Drill Tunnel.

作者信息

Kuptniratsaikul Somsak, Kuptniratsaikul Vanasiri, Itthipanichpong Thun

机构信息

Department of Orthopedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Department of Orthopedics, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

出版信息

Arthrosc Tech. 2020 Nov 20;9(11):e1791-e1795. doi: 10.1016/j.eats.2020.08.001. eCollection 2020 Nov.

Abstract

Acute acromioclavicular joint separation is a common injury of the shoulder. There are several methods for treating this condition; however, there is no gold standard established. Herein, we propose an arthroscopic method for the treatment of acute acromioclavicular joint separation using a simple cortical suspension device at the coracoid base via a transclavicular-transcoracoidal tunnel and tieing the suture at the clavicle. This method has the advantages of making a precision drilling tunnel using small implants and small stab incisions, with better cosmetic results and less implant irritation.

摘要

急性肩锁关节分离是肩部常见的损伤。治疗这种病症有多种方法;然而,尚未确立金标准。在此,我们提出一种关节镜下治疗急性肩锁关节分离的方法,即通过经锁骨 - 经喙突隧道在喙突基部使用一种简单的皮质悬吊装置,并在锁骨处系紧缝线。该方法具有使用小植入物和小切口进行精确钻孔隧道的优点,具有更好的美容效果且植入物刺激较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7b2/7695624/59721c9da054/gr1.jpg

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