空心钉固定联合半腱肌肌腱重建喙锁韧带治疗Ⅲ度肩锁关节脱位

The clinical effect of coracoclavicular ligament reconstruction by hollow screw associated with semitendinosus ligament in grade Ⅲ acromioclavicular joint dislocation

目的探讨空心钉固定联合半腱肌肌腱重建喙锁韧带治疗Ⅲ度肩锁关节脱位的疗效。方法对22例Ⅲ度肩锁关节脱位患者行空心钉固定联合半腱肌肌腱重建喙锁韧带治疗。结果患者均获随访,时间10～32个月。肩关节功能恢复良好,局部畸形消失,未见复发。参照Karlsson疗效评定标准:A级18例,B级4例。结论该手术方法设计符合生物力学的要求,方法简单,复位作用良好,是治疗Ⅲ度新鲜肩锁关节脱位有效方法。

Objective To study the effect of coracoclavicular ligament reconstruction by hollow screw associated with semitendinosus ligament in grade Ⅲ acromioclavicular joint dislocation.Methods 22 patients with grade Ⅲ acromioclavicular joint dislocation were treated by hollow screw associated with semitendinosus ligament.Results 22 cases were follow up for 10～32 months.According to Karlsson criteria evaluation standard,the clinical outcomes were A in 18 cases,B in 4 cases.All cases had good shoulder joint function,the local deformity was disappeared,no recurrence cases were found.Conclusions Hollow screw associated with semitendinosus ligament is a simple and effective method for grade Ⅲ acromioclavicular joint dislocation.The operation method accords with biomechanics,and acromioclavicular joint reduction is good.