应用人工碳纤维治疗肩锁关节脱位

Artificial carbon fiber for the treatment of acromioclavicular joint dislocation

目的 观察人工碳纤维治疗肩锁关节脱位的临床疗效并作出评估。方法 2 5例肩锁关节脱位患者 ,包括Ⅱ度 7例 ,Ⅲ度 18例 ,均采用人工碳纤维和张力带双丝线捆扎喙突和锁骨 ,并用克氏针固定肩锁关节。结果 术后无一例伤口感染和再脱位发生 ,其疗效评定按黄公怡标准 :优 17例 ,良 8例。X线检查 :术后喙突—锁骨间距较术前明显减小 ,与健侧间距基本一致。随访时间 6～ 2 0个月 (平均 12个月 )。结论 人工碳纤维治疗肩锁关节脱位是一种有效可靠的手术方法 ,适用于Ⅲ度完全脱位和部分Ⅱ度不完全脱位患者 ,有利于早期功能锻炼。

Objective To investigate the effect of artificial carbon fiber for the treatment of acromioclavicular joint dislocation Methods Twenty five cases of acromioclavicular joint dislocation were treated with kirschner pin integrated with tying up the coracoid to clavicle by tensional double cotton threat with artificial carbon fiber.Results Redislocation and infection were not seen.By the method of Huang Gongyi's criteria of postoperative therapeutic effect,17 out of 25 cases got excellent result and 8 good.After the operation,roentgenogram showed complete reduction of dislocation for all cases.All cases were followed up for 6～20 months(average 12 months).Conclusion Artificial carbon fiber is reliable and effective for the treatment of acromioclavicular joint dislocation.The indication for this treatment are all grade Ⅲ A C joint dislocation and some grade Ⅱ subluxation;and the method allowed early function exercise.