CAJ | 학술논문

目的探讨利用微创双切口结合双带袢钢板固定技术治疗完全型肩锁关节脱位的临床效果.方法 2007年12月至2010年5月,收治16例完全型肩锁关节脱位患者,设计在2个微创切口内,将肩锁关节复位后采用双带袢钢板固定及重建喙锁韧带.结果 16例术后随访5～24个月,平均12.1个月,肩外形正常.X线片及CT复查肩锁关节解剖关系恢复.参照Karlsson标准评定:优14例,良2例;近期优良率100％.结论微创双切口在不增加手术时间的情况下,有效减少了手术创伤,双带袢钢板固定技术重建治疗完全型肩锁关节脱位,恢复了肩锁关节的解剖对位,能有效保证肩锁关节的垂直稳定及水平稳定,两者相结合具有疗效可靠、操作简便等优点,值得临床推广应用.
목적 탐토이용미창쌍절구결합쌍대번강판고정기술치료완전형견쇄관절탈위적림상효과.방법 2007년12월지2010년5월,수치16례완전형견쇄관절탈위환자,설계재2개미창절구내,장견쇄관절복위후채용쌍대번강판고정급중건훼쇄인대.결과 16례술후수방5～24개월,평균12.1개월,견외형정상.X선편급CT복사견쇄관절해부관계회복.삼조Karlsson표준평정:우14례,량2례;근기우량솔100％.결론 미창쌍절구재불증가수술시간적정황하,유효감소료수술창상,쌍대번강판고정기술중건치료완전형견쇄관절탈위,회복료견쇄관절적해부대위,능유효보증견쇄관절적수직은정급수평은정,량자상결합구유료효가고、조작간편등우점,치득림상추엄응용.
Objective To evaluate the efficacy of the double Endobutton/Retrobutton technique for the treatment of complete dislocation of the acromioclavicular joint. Methods From December 2007 to May 2010,16 patients with complete acromioclavicular joint dislocation were treated by the double Endobutton/Retrobutton technique to reconstruct the conoid ligament via two mini-incisions. Results Postoperatively the patients were follow-up for 5 to 24 months,with an average of 12.1months.The profile of the shoulders in all patients were normal and all postoperative radiographs demonstrated excellent reduction of the coracoclavicular interval and the acromioclavicular joint in all the patients.According to the Karlsson criterion,the results were excellent in 14 patients and good in the other 2 patients.The short-term effective rate was 100％. Conclusion The double mini-incisions approach is less invasive without the need to increase surgery time.Double Endoburton/Retrobutton fixation enables an anatomical reduction of the acromioclavicular joint and restores stability of the acromioclavicular joint in the vertical and horizontal axis.This approach is simple,reproducible and reliable.