CAJ | 학술논문

目的：探讨联合腱移位+软组织带线锚钉治疗重度肩锁关节脱位的临床效果。方法自2008年7月～2012年12月本院采用联合腱移位+软组织带线锚钉治疗重度肩锁关节脱位15例，均为单侧脱位。其中男6例，女9例；年龄32～61岁，平均41.3岁。左侧7例，右侧8例（合并对侧胫骨平台骨折1例）。根据Rockwood分型：Ⅲ型4例，Ⅳ型8例，Ⅴ型3例。采用VAS视觉模拟疼痛评分评定主观疼痛，采用美国肩肘协会肩关节评分（ASES评分）进行关节功能评定。结果15例均获得随访，随访时间12～18个月，平均15个月。术后疼痛评分1.5±1.2分；术后关节功能评分86.6±3.8分。结论采用联合肌腱移位+软组织带线锚钉治疗重度肩锁关节脱位是一种疗效可靠的治疗方法。
목적：탐토연합건이위+연조직대선묘정치료중도견쇄관절탈위적림상효과。방법자2008년7월～2012년12월본원채용연합건이위+연조직대선묘정치료중도견쇄관절탈위15례，균위단측탈위。기중남6례，녀9례；년령32～61세，평균41.3세。좌측7례，우측8례（합병대측경골평태골절1례）。근거Rockwood분형：Ⅲ형4례，Ⅳ형8례，Ⅴ형3례。채용VAS시각모의동통평분평정주관동통，채용미국견주협회견관절평분（ASES평분）진행관절공능평정。결과15례균획득수방，수방시간12～18개월，평균15개월。술후동통평분1.5±1.2분；술후관절공능평분86.6±3.8분。결론채용연합기건이위+연조직대선묘정치료중도견쇄관절탈위시일충료효가고적치료방법。
Objective To evaluate the surgery results of the serious dislocation of acromio-clavieular joint.Method Between July 2008 and December 2012,15 cases of serious dislocation of acromioclavieular joint cases were treated by conjoint tendon and praided sutures.There are 6 males and 9 females with an average age of 41.3years(range,32~61years).Unilated side was affected in all cases,including 7 cases at the left side and 8 at the right side.According to the system of Rockwood,as Type Ⅲ in 4 patients,Type Ⅳ in 8 patients and TypeⅤ in 3 patients.Outcome was evaluated by visual analogue scale (VAS) for pain and ASES scale for the range of joint motion.ResultAll patients were followed up 12~18 months (mean 15months).Good outcome was achieved in all of the patients.Conclusion Conjoint tendon and praided sutures is a better way for the treatment of serious acromioclavicular joint dislocation.