CAJ | 학술논문

目的介绍应用同种异体肌腱重建喙锁和肩锁韧带治疗肩锁关节脱位的临床疗效.方法 2010年2月至2012年2月,对6例肩锁关节脱位患者,应用同种异体肌腱“V”形重建喙锁和肩锁韧带,并跟踪随访其疗效.随访包括调查患者总体满意度,观察患肩外形,测量肩关节活动度,摄片评价肩锁关节复位维持情况,使用Constant-Murley肩关节评分和美国加州大学洛杉矶分校(UCLA)评分系统评价患肩功能,视觉模拟评分法(VAS)了解患者疼痛情况.结果术后平均随访时间为18个月,患者总体满意度为83.3％,所有患者肩关节外形正常,平均前屈上举163.5°、外展上举147.2°,Constant-Murley评分平均95.3分、UCLA评分平均32.8分、VAS评分平均0.3分.结论应用同种异体肌腱修复重建喙锁和肩锁韧带治疗肩锁关节脱位,符合生物力学要求,术后随访疗效满意,是一种有效的治疗方法.
목적 개소응용동충이체기건중건훼쇄화견쇄인대치료견쇄관절탈위적림상료효.방법 2010년2월지2012년2월,대6례견쇄관절탈위환자,응용동충이체기건“V”형중건훼쇄화견쇄인대,병근종수방기료효.수방포괄조사환자총체만의도,관찰환견외형,측량견관절활동도,섭편평개견쇄관절복위유지정황,사용Constant-Murley견관절평분화미국가주대학락삼기분교(UCLA)평분계통평개환견공능,시각모의평분법(VAS)료해환자동통정황.결과 술후평균수방시간위18개월,환자총체만의도위83.3％,소유환자견관절외형정상,평균전굴상거163.5°、외전상거147.2°,Constant-Murley평분평균95.3분、UCLA평분평균32.8분、VAS평분평균0.3분.결론 응용동충이체기건수복중건훼쇄화견쇄인대치료견쇄관절탈위,부합생물역학요구,술후수방료효만의,시일충유효적치료방법.
Objective To introduce and evaluate a new reconstructive method for the coracoclavicular and acromioclavicular ligaments using allogeneic tendon graft in the management acromioclavicular joint dislocation.Methods Between February 2010 and February 2012,6 cases of acromioclavicular joint dislocations were treated with allogeneic tendon graft to reconstruct the V structure of coracoclavicular and acromioclavicular ligaments in our clinic.Patient satisfaction,appearance of the shoulder,shoulder range of motion,maintenance of the reduced acromioclavicular joint in X-rays,Constant-Murley shoulder scores,UCLA shoulder scores and VAS for pain were documented during follow-up evaluation.Results The patients were available for a mean follow-up of 18 months (range,8 to 25 months).Patient satisfaction was documented as 83.3％.All patients had a normal appearance of the shoulder.Flexion and abduction of the shoulder were 163.5° and 147.2° respectively.The mean Constant-Murley and UCLA shoulder scores were 95.3 and 32.8 respectively.The mean V AS score of the patients was 0.3.Conclusion Reconstruction of the coracoclavicular and acromioclavicular ligaments with allogeneic tendon graft can achieve good outcomes in treatment of acromioclavicular joint dislocation.It fulfills biomechanical requirements and maintains sustainable and stable reduction of the joint.