同种异体肌腱重建喙锁韧带治疗肩锁关节脱位18例分析

目的探讨同种异体肌腱重建喙锁韧带在肩锁关节脱位治疗中的应用价值。方法使用同种异体肌腱重建喙锁韧带的方法治疗TossyⅢ型肩锁关节脱位患者18例,术后通过Karlsson标准进行疗效的综合评定。结果本组18例患者无一例发生神经、血管损伤等并发症,总体优良率为88.9%。结论同种异体肌腱移植重建喙肩韧带用于肩锁关节的治疗可在很大程度上减轻患者损伤,缩短手术时间,但在手术过程中需注意避免损伤血管和神经。

Clinical analysis of reconstruction of coracoclavicular ligament with allogenic tendon for treating 18 cases of acromino-clavicular joint dislocation

Objective To investigate the clinical value of reconstruction of coracoclavicular ligament with allogenic tendon in the treatment of acromino-clavicular joint dislocation. Methods 18 patients with Tossy-Ⅲ acrominoclavicular joint dislocation were treated with reconstruction of coracoclavicular ligament with allogenic tendon. The curative effects were evaluated comprehensively based on Karlsson evalustion standard. Results There were no vascular injuries or neurotrosis. The total good and excellent rate was 88.9%. Conclusion Reconstruction of coracoclavicular ligament with allogenic tendon can reduce injury of patients and shorten the operation time. We should avoid damaging the blood vessels and nerves durign the operation.