重度肩锁关节脱位的手术治疗
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作者Author单位AddressE-Mail
赵友明 ZHAO You ming 温州医学院附二院骨科,浙江温州325027 The 2nd Affiliated Hospital of Wenzhou Medical College Zhejiang Wenzhou,325027  
洪汝康 HONG Ru kang 温州医学院附二院骨科,浙江温州325027 The 2nd Affiliated Hospital of Wenzhou Medical College Zhejiang Wenzhou,325027  
王振文 WANG Zheng wen 温州医学院附二院骨科,浙江温州325027 The 2nd Affiliated Hospital of Wenzhou Medical College Zhejiang Wenzhou,325027  
期刊信息:《中国骨伤》2001年,第14卷,第4期,第202-203页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:对15例重度肩锁关节脱位的手术治疗进行探讨。

方法:15例全部为Allman分型中的Ⅲ型损伤,其中有11例切除纤维软骨盘,7例修复喙锁韧带,3例加用一枚松质骨螺钉固定于锁骨与喙突间,肩锁韧带全部修复,用两枚克氏针交叉固定于肩锁关节。

结果:经10个月~6年的随访,疗效评价按Karlsson分类A级为12例,B级3例,病人均重返原工作岗位,有10例喙锁间隙软组织钙化,但对病人肩关节活动并无影响。

结论:对重度肩锁关节脱位的病人应尽早手术治疗,克氏针交叉内固定是一种简单而有效的方法,纤维软骨盘是否切除和喙锁韧带是否修复对预后无明显影响。
【关键词】关节  脱位  手术
 
Operative Treatment of Severe Acromioclavicular Joint Dislocation
ABSTRACT  

Objective: To explore the operative treatment of severe acromioclavicular joint dislocation.

Methods: 15 cases of severe acromioclavicular joint dislocation were diagnosed as type Ⅲ injury according to Allman classification system.11 cases had the fibrocartilage removed,reconstruction of the coracoacromial ligament was done in 7 cases,in 3 cases a cancellous screw was inserted between the clavicle and aromion process and complete reconstruction of the acromio clavicular ligament was performed and fixation was done with 2 K wires.

Results:The follow up ranged from 10 months to 6 years,reviewuation of the Results was done according to Karlsson.12 cases were graded as A,3B,all patients resumed their preoperative activities.Soft tissue calcification in the coracoclavicular gap in 10 cases,the acromial joint movement was not affected.

Conclusion: The patients with severe acromiocavicular joint dislocation should be treated with surgery as early as possible.Cross internal fixation with K wires is a simple and effective method,the final outcome is not affected by the resection of fibrocartilage and restoration of coracoacromial ligament.
KEY WORDS  Joint  Dislocation  Operation
 
引用本文,请按以下格式著录参考文献:
中文格式:赵友明,洪汝康,王振文.重度肩锁关节脱位的手术治疗[J].中国骨伤,2001,14(4):202~203
英文格式:ZHAO You ming,HONG Ru kang,WANG Zheng wen.Operative Treatment of Severe Acromioclavicular Joint Dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(4):202~203
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