Kawabe N, Watanabe R, Sato M
Clin Orthop Relat Res. 1984 May(185):222-7.
There is still discussion concerning the methods for treating Type 3 dislocations of the acromioclavicular joints. Since 1969 the authors have treated 41 patients with Type 3 dislocations by transfer of the coracoacromial ligament, with favorable results. The advantages of the method are as follows: (1) The replaced coracoacromial ligaments substitute for the strong coracoclavicular ligaments, reproducing a construction that closely resembles a physiologically and anatomically normal state. (2) There is no fear of rupture if transplanted tendon or wire is used. A concentrated force will not occur in this system because of dispersion in the tendon, and no injury is produced in the clavicle. (3) The operation can be performed under the same visual field, and the technique is relatively simple.
关于肩锁关节Ⅲ型脱位的治疗方法仍存在争议。自1969年以来，作者采用喙肩韧带转移术治疗了41例Ⅲ型脱位患者，效果良好。该方法的优点如下：（1）移位的喙肩韧带替代了强大的喙锁韧带，重建的结构与生理和解剖学上的正常状态极为相似。（2）使用移植肌腱或钢丝时无需担心断裂。由于力分散在肌腱中，该系统不会产生集中力，锁骨也不会受到损伤。（3）手术可在同一视野下进行，技术相对简单。
