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关节镜辅助下双环缝合法修复急性肩锁关节脱位

Arthroscopically Assisted Double-Loop Suture Repair for Acute Acromioclavicular Joint Disruption.

作者信息

Fandridis Emmanouil Μ, Zampeli Frantzeska, Dimakopoulos Panagiotis

机构信息

Hand-Upper Limb-Microsurgery Department, General Hospital KAT(E.M.F., F.Z.); and Athens, Greece(P.D.).

Orthopaedic Department, University of Patras, Patras, Greece.

出版信息

Arthrosc Tech. 2022 Apr 25;11(5):e937-e946. doi: 10.1016/j.eats.2022.01.013. eCollection 2022 May.

Abstract

The surgical management of acute high-grade acromioclavicular (AC) joint (ACJ) injuries has evolved during the last decades. Numerous surgical techniques exist and recently arthroscopically assisted or all endoscopic techniques have gained popularity due to certain advantages. The goals of the new anatomic coracoclavicular ligament reconstruction techniques are to achieve anatomic reduction of the ACJ to allow and facilitate primary healing of AC and coracoclavicular (CC) ligaments, and also to minimize the risk of associated complications. We regularly use the open repair with double-loop sutures for the acute ACJ disruption, as described by Dimakopoulos et al. at 2006. In this surgical technique article, we present the arthroscopically assisted technique for the double-loop suture repair.

摘要

在过去几十年中,急性高度肩锁关节(ACJ)损伤的手术治疗方法不断发展。目前存在多种手术技术,近来关节镜辅助或全内镜技术因其某些优势而受到欢迎。新型解剖学喙锁韧带重建技术的目标是实现肩锁关节的解剖复位,以促进肩锁韧带和喙锁韧带的一期愈合,并尽量降低相关并发症的风险。我们通常采用Dimakopoulos等人在2006年所描述的双环缝线开放修复术来治疗急性肩锁关节脱位。在这篇手术技术文章中,我们介绍双环缝线修复的关节镜辅助技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d88/9134684/04134b2c6e91/gr1.jpg

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